CAJ | 학술논문

目的：分析结核性脑膜脑炎25例的MRI影像表现，以提高本病的诊断率。方法收集经临床综合诊断的结核性脑膜脑炎25例的MRI资料，所有患者均行头颅MRI检查，其中20例同时进行头颅MRI平扫和增强。结果头颅MRI 检查示20例患者脑内见粟粒性结核瘤，1例见大结核瘤及小血肿形成，增强扫描结核瘤结节样及环形强化；20例脑膜增厚、强化；5例脑底池狭窄；3例表现双侧基底节区对称性脑梗死样改变；2例幕上脑室积水。结论结核性脑膜脑炎MRI 表现多样，结核瘤是其特征性表现。
목적：분석결핵성뇌막뇌염25례적MRI영상표현，이제고본병적진단솔。방법수집경림상종합진단적결핵성뇌막뇌염25례적MRI자료，소유환자균행두로MRI검사，기중20례동시진행두로MRI평소화증강。결과두로MRI 검사시20례환자뇌내견속립성결핵류，1례견대결핵류급소혈종형성，증강소묘결핵류결절양급배형강화；20례뇌막증후、강화；5례뇌저지협착；3례표현쌍측기저절구대칭성뇌경사양개변；2례막상뇌실적수。결론결핵성뇌막뇌염MRI 표현다양，결핵류시기특정성표현。
Objective To analyze the MRI manifestations of tuberculosis meningoencephalitis in order to im-prove accurate rate of diagnosis of this disease .Methods To collect MRI data of 25 cases tuberculosis meningoen-cephalitis diagnosed by clinical .All of the patients had the brain routine MRI scan ,in which there were 20 cases with MRI brain contrast -enhanced scan .Results The brain MRI examination showed that there are some miliary tuberculosis lesions at the cerebral in 20 cases ,tuberculoma and small hematoma in 1 case ,and the tuberculomas were focal nodular and ring enhanced with the enhanced scanning ;the meningeal thickened and enhanced in 20 cases ;the base of the brain cistern narrowed in 5 cases;the supratentorial hydrocephalus in 2 cases;the changes of cerebral infarction symmetrically located at the basal ganglia in 3 cases . Conclusion The MRI manifestations of tuberculosis meningoencephalitis are multiple ,tuberculoma is its characteristic manifestation .