Kornetova N V
Probl Tuberk. 1990(12):26-8.
The article describes the versions of meningeal tuberculosis in 300 patients observed by the author from 1975 to 1990. In the majority of the patients, the onset of the disease was gradual and its course, typical. For an acute onset of the disease, certain types of serous meningitis (6.7%), influenza (2.3%), acute psychosis (3%), purulent meningitis (1.3%), craniocerebral injury (1%), seriously disturbed cerebral circulation (4%) and lethargic encephalitis (0.66%) were identified. Chronic forms were mainly characterized by fibroplastic processes, local focal neurologic symptoms and congestive changes in the eye ground. The full-scale picture of the disease was sometimes observed at the terminal stage only. In 5% of the patients, such neurologic symptoms, as aphasias and paralyses, were prevalent in the clinical picture. The final diagnosis of a follow-up and repeated examination of the cerebrospinal fluid.
本文描述了作者在1975年至1990年间观察到的300例脑膜结核病例的情况。大多数患者起病缓慢，病程典型。疾病急性起病的情况包括某些类型的浆液性脑膜炎（6.7%）、流感（2.3%）、急性精神病（3%）、化脓性脑膜炎（1.3%）、颅脑损伤（1%）、严重脑循环障碍（4%）和昏睡性脑炎（0.66%）。慢性形式主要表现为纤维增生过程、局部局灶性神经症状和眼底充血性改变。疾病的全貌有时仅在终末期才会出现。5%的患者临床表现中以失语和瘫痪等神经症状为主。最终诊断需通过脑脊液的随访和反复检查来确定。
