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成人脑干结核瘤:诊断与治疗

Brain stem tuberculoma in adult patients: diagnosis and treatment.

作者信息

Farrell V J

机构信息

Department of Neurosurgery, Rand Mutual Hospital, Johannesburg, Republic of South Africa.

出版信息

Surg Neurol. 1990 Dec;34(6):383-9. doi: 10.1016/0090-3019(90)90241-g.

Abstract

A consecutive series of six adult patients ranging in age from 29 to 53 years is presented. The clinical and radiological features in each patient are described. Attention is drawn to the features demonstrated on computed axial tomography. In only one patient, the first encountered, was surgical excision undertaken and histological verification obtained. One patient died before any form of treatment could be instituted. The remaining four patients were treated with antituberculous chemotherapy alone and their progress monitored by sequential computed tomography. The excellent response and good outcome in this conservatively treated group are documented.

摘要

本文报告了连续6例年龄在29至53岁之间的成年患者。描述了每位患者的临床和放射学特征。重点关注了计算机断层扫描所显示的特征。仅对首例患者进行了手术切除并获得了组织学证实。1例患者在能够进行任何形式的治疗之前死亡。其余4例患者仅接受抗结核化疗,并通过连续计算机断层扫描监测其病情进展。记录了该保守治疗组的良好反应和良好结局。

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