Cesur Salih, Arabaci Hakan, Sözen Tuncay Hasip, Tekeli Emin
Ankara Universitesi Tip Fakültesi, Klinik Bakteriyoloji ve Infeksiyon Hastaliklari Anabilim Dali, Ankara.
Mikrobiyol Bul. 2002 Jan;36(1):91-4.
Intracranial tuberculoma is one of the most serious complications of tuberculous meningitis. In this report, two patients who develop intracranial tuberculoma as a complication of tuberculous meningitis have been presented. The first patient was a 35 years old male patient who were still been in therapy for cavitary tuberculosis. The other one was 42 years old male patient and have had treated for subdural empyema two years ago. There was no positivity in both of the cerebrospinal fluid (CSF) specimens of the patients by Gram and Erlich Ziehl Neelsen stained preparations, while the CSF sample of the first case yielded Mycobacterium tuberculosis in culture. The tuberculoma diagnosis of these patients managed by the help of computerized tomography (CT) and nuclear magnetic resonance imaging (NMR) methods. As a result, it was thought that CT and NMR techniques have a great role in the diagnosis and management of complications in tuberculous meningitis patients.
颅内结核瘤是结核性脑膜炎最严重的并发症之一。在本报告中，介绍了两名因结核性脑膜炎并发颅内结核瘤的患者。第一名患者是一名35岁男性，仍在接受空洞型肺结核治疗。另一名是42岁男性患者，两年前曾接受过硬膜下积脓治疗。患者的两份脑脊液（CSF）标本经革兰氏染色和厄利希齐尔-尼尔森染色制片均未呈阳性，而第一例患者的脑脊液样本在培养中检出结核分枝杆菌。这些患者的结核瘤诊断借助计算机断层扫描（CT）和核磁共振成像（NMR）方法得以确诊。结果认为，CT和NMR技术在结核性脑膜炎患者并发症的诊断和管理中发挥着重要作用。
