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颅内多发性结核瘤,实为脑主质内传染性肉芽肿。此类病例常诱发癫癎大发作,国内报告不多。国外报告的这类病例,是在结核病治疗期间所发现的,且预后欠佳。近代CT检查问世,此类病例的发现及治疗经验值得人们重视。我院于1986年1月～1988年6月间,经他院CT检查证实者共7例:男性4例,女性3例。年龄在20～39岁,平均23.1岁。7例中4例有癫癎大发作。现报告1例,结合文献浅谈其诊断及处理体会。病人男 39岁已婚兽医住院号23176于1987年3月26日入院。病人于1986年9月有干咳、咽喉疼痛半年,吞咽困难及畏寒发热月余,对症治疗无效。1987年2月24日症状加剧,在当地医院就医。胸部x线检查为肺结核,用INH、SM、PAS及抗炎治疗20天后症状稍缓解。继续抗结核1个月后,又因咳嗽、发热等症状加剧转入我院。既往无肝、肾、
Multiple intracranial tuberculomas, in fact, is the host of infectious granulomas in the brain. Such cases often induce epileptic seizures, few domestic reports. Such cases reported abroad are found during tuberculosis treatment and have a poor prognosis. The advent of modern CT examination, the discovery and treatment of such cases worthy of attention. Our hospital from January 1986 to June 1988, confirmed by his hospital CT examination in 7 cases: 4 males and 3 females. The age of 20 to 39 years old, an average of 23.1 years old. Four of the seven patients had epileptic seizures. Now report 1 case, combined with the literature talk about its diagnosis and treatment experience. Patient Male 39-year-old married veterinarian hospital number 23176 was admitted on March 26, 1987. Patients in September 1986 had dry cough, sore throat for six months, swallowing difficulties and chills more than fever, symptomatic treatment is invalid. February 24, 1987 Symptoms intensified and medical treatment at local hospital. Chest x-ray examination for pulmonary tuberculosis, with INH, SM, PAS and anti-inflammatory treatment for 20 days the symptoms slightly relieved. Continue to anti-TB 1 month later, due to cough, fever and other symptoms intensified into our hospital. Past no liver, kidney,