Zhang S R, Zhang Y S, Zhao X D
Zhonghua Nei Ke Za Zhi. 1989 Apr;28(4):202-4, 250.
Fourteen cases of tuberculous meningitis complicated by moderate or severe hydrocephalus identified by CT are reported. The accumulation and blockage of tuberculous exudate in the basic cisterns and ependymitis in the cerebrospinal drainage pathway are the important pathological features of this disease. There may be a correlation of hydrocephalus with hyponatraemia. Headache, vomiting, and impaired consciousness are common symptoms, although a few cases did not show obvious symptoms of raised intracranial tension. The study suggests a relation between the degree of hydrocephalus and the pressure on lumber puncture. If patients with impaired consciousness, especially in the chronic stage show no improvement during medical treatment, ventricular shunt may bring about remarkable improvement.
报告了14例经CT确诊为结核性脑膜炎合并中度或重度脑积水的病例。结核性渗出物在脑池内的积聚和阻塞以及脑脊液引流途径的室管膜炎是该疾病的重要病理特征。脑积水可能与低钠血症相关。头痛、呕吐和意识障碍是常见症状，尽管少数病例未表现出明显的颅内压升高症状。该研究表明脑积水程度与腰椎穿刺压力之间存在关联。对于意识障碍患者，尤其是在慢性期经药物治疗无改善者，脑室分流术可能会带来显著改善。
