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儿童中枢神经系统结核的颅内表现

Intracranial manifestations of central nervous system tuberculosis in children.

作者信息

Lazarte-Rantes Claudia, Sinti-Ycochea Mario, Guillen-Pinto Daniel

机构信息

Department of Diagnostic Imaging, Instituto Nacional de Salud del Niño San Borja, Av. Javier Prado Este 3101, Lima, Peru, 15037.

Department of Pediatric Neurology, Hospital Nacional Cayetano Heredia, Lima, Peru.

出版信息

Pediatr Radiol. 2025 Jan;55(1):88-103. doi: 10.1007/s00247-024-06057-6. Epub 2024 Oct 11.

Abstract

Tuberculosis remains a significant global health challenge, with central nervous system tuberculosis (CNS-TB) posing a substantial threat, accounting for 1-10% of all tuberculosis cases. This article explores the diverse manifestations of CNS-TB in children, with a particular focus on tuberculous meningitis and tuberculomas, as well as their associated complications. Diagnostic imaging, including CT and MRI, plays a crucial role in the early detection of CNS-TB. The article emphasizes the pivotal role of imaging in the diagnosis and management of these manifestations, underscoring the importance of early recognition by healthcare professionals. Ultimately, raising awareness among pediatric radiologists, pediatricians, and pediatric neurologists is crucial for prompt intervention and improved outcomes in cases of CNS-TB.

摘要

结核病仍然是一项重大的全球卫生挑战,中枢神经系统结核病(CNS-TB)构成了重大威胁,占所有结核病病例的1%-10%。本文探讨了儿童CNS-TB的多种表现形式,特别关注结核性脑膜炎和结核瘤及其相关并发症。包括CT和MRI在内的诊断性影像学在CNS-TB的早期检测中起着至关重要的作用。本文强调了影像学在这些表现形式的诊断和管理中的关键作用,突显了医疗保健专业人员早期识别的重要性。最终,提高儿科放射科医生、儿科医生和儿科神经科医生的认识对于CNS-TB病例的及时干预和改善预后至关重要。

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