CAJ | 학술논문

目的：为了提高对脑结核瘤的诊断和治疗水平。方法回顾性分析1例多发性脑结核瘤患者的临床特点、影像学表现及治疗效果。结果该例患者脑内结核瘤呈粟粒样分布，累及大脑、小脑和脑干。抗结核治疗后病灶缩小、数目明显减少。结核瘤的诊断应结合临床表现、影像学特点、实验室检查及抗结核疗效进行综合判定。药物治疗需正规、长疗程。结论颅内多发结核瘤作为中枢神经系统结核的一种表现形式，临床并不少见。但由于其临床表现及CT检查的特异性不高，易误诊。
목적：위료제고대뇌결핵류적진단화치료수평。방법회고성분석1례다발성뇌결핵류환자적림상특점、영상학표현급치료효과。결과해례환자뇌내결핵류정속립양분포，루급대뇌、소뇌화뇌간。항결핵치료후병조축소、수목명현감소。결핵류적진단응결합림상표현、영상학특점、실험실검사급항결핵료효진행종합판정。약물치료수정규、장료정。결론로내다발결핵류작위중추신경계통결핵적일충표현형식，림상병불소견。단유우기림상표현급CT검사적특이성불고，역오진。
Objective to improve the recognition of diagnosis and treatment for intracranial tuberculoma. Methods a retrospective analysis of clinical features, imaging performances and therapeutic results from a case with multiple intracranial tuberculoma. Results the patients with cerebral tuberculoma showed miliary distribution, involving the cerebrum, cerebellum and brain stem. anti tB treatment significantly reduced the number of tumor size. the diagnosis of tuberculoma should be combined with clinical manifestations, radiological characteristics, laboratory examination and anti tuberculosis curative effect of comprehensive judgement. drug therapy should be regular, long course of treatment. Conclusion Multiple intracranial tuberculomas as a form of tuberculosis of the central nervous system, is not uncommon in clinic. But due to the speciifc clinical manifestations and ct examination is not high, is easy to be misdiagnosed.