结核性脑膜炎时侧脑室的“颞角受压”

'Trapped temporal horn' of lateral ventricle in tuberculous meningitis.

作者信息

Sharma Chandramohan, Acharya Mihir, Kumawat Bansi Lal, Kochar Abhishek

机构信息

Department of Neurology, Sawai Mansingh Medical College and Hospital, Jaipur, Rajasthan, India.

出版信息

BMJ Case Rep. 2014 Apr 4;2014:bcr2014203837. doi: 10.1136/bcr-2014-203837.

DOI:10.1136/bcr-2014-203837

PMID:24706706

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3987641/

Abstract

A young girl presented with a 1-month history of constitutional symptoms, headache and vomiting and 7-day history of left hemiparesis. Neuroimaging showed the 'trapped temporal horn' sign, suggestive of focal obstructive hydrocephalus at the foramen of Monro. Analysis of the cerebrospinal fluid and other investigations revealed a tubercular aetiology. The patient was managed with a ventriculoperitoneal shunt and antitubercular medications.

摘要

一名年轻女孩出现了1个月的全身症状、头痛和呕吐病史，以及7天的左侧偏瘫病史。神经影像学检查显示“颞角被困”征，提示门罗孔处存在局灶性梗阻性脑积水。脑脊液分析和其他检查显示病因是结核。该患者接受了脑室腹腔分流术和抗结核药物治疗。