摘要
对 34例不同病期结核性脑膜炎 ( TM)患者的头颅 CT、MRI及临床进行分析。2 7例头颅 CT检查 ,异常率为 66.7% ,8例头颅 MRI检查均异常。CT改变特点与 MRI基本一致 ,早期仅为脑池改变或轻度脑实质低密度影 ;中期则发展为脑水肿、脑积水改变 ;晚期可见脑实质低密度、混杂、高密度影及脑池受压、闭塞、粘连等。临床疗效近愈者影像学改变轻 ,疗效差者影像学改变重。认为影像学检查对 TM诊断。
cases of tuberculous meningitis(TM) of different stage were studied by CT、MRI and clinic.2 7cases had been examined by CT,abnormal rate were6 6 .7% ;8cases had been examined by MRI,all were abnormity.Changes of CT were similar to that of MRI:only presented change of cisternal and sulci or light low density of parenchyma in the early stage,developed encephaledema and hydrocephalusin the middle stage,being seen low, mixed,high density in parenchyma and oppressed,occluded,adhered in sulci in the late stage.Proximate recover patients had light change in CT、MRI.Bad effction of patients had obvious change in CT、MRI.We thought that it was significant for clinical evalution of the degrec and prognostic of TM.
出处
《临床神经病学杂志》
CAS
1997年第6期349-351,共3页
Journal of Clinical Neurology
