颅内结核瘤：诊断与治疗

Intracranial tuberculomas: diagnosis and management.

机构信息

Department of Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

出版信息

Acta Neurochir (Wien). 1987;88(3-4):109-15. doi: 10.1007/BF01404146.

Abstract

Experience with fifteen consecutive cases of intracranial tuberculomas, treated between 1981 and 1986, is summarized. Histological confirmation was obtained in twelve patients, and acid fast bacilli (AFB) were found in and cultured from the excised lesions and biopsy specimens in nine patients. Difficulties in diagnosis are discussed. A plan of management combining the operative treatment and medical therapy of the tuberculomas is outlined. The value of computerized tomography in the diagnosis and management of these patients is emphasized.

摘要

总结了1981年至1986年间连续治疗的15例颅内结核瘤的经验。12例患者获得了组织学确诊，9例患者在切除的病变和活检标本中发现并培养出抗酸杆菌（AFB）。讨论了诊断中的困难。概述了结核瘤手术治疗和药物治疗相结合的管理方案。强调了计算机断层扫描在这些患者诊断和管理中的价值。