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[慢性结核性脑膜脑炎作为脑血管功能不全的病因——一个鉴别诊断问题]

[Chronic tuberculous meningoencephalitis as a cause of cerebrovascular insufficiency--a differential diagnostic problem].

作者信息

Kleinert R, Kleinert G, Steiner H, Bertha G

出版信息

Fortschr Neurol Psychiatr. 1986 Mar;54(3):80-3. doi: 10.1055/s-2007-1001853.

Abstract

The often complicated diagnosis in the reason of uncertain primary clinical symptoms, in a chronical prolonged tuberculous meningoencephalitis, in correlation with the demonstration of an exemplary case, in the present study is reported. In addition, in this case the morphological and clinical signs are very uncommon also in cause of uncharacteristically and misleadingly clinical symptoms. The findings in computed tomography and finally also the rarely autopsy findings, like tuberculous ventriculitis and vasculitis are presented. The possibilities of different diagnosis will be discussed, in regard to the literature. The present study should be understood as a contribution to a quick and certain diagnose in tuberculous meningoencephalitis.

摘要

本文报道了在原发性临床症状不确定、慢性迁延性结核性脑膜脑炎的情况下,结合一个典型病例进行的常常复杂的诊断。此外,该病例的形态学和临床体征也非常罕见,原因是临床症状不典型且具有误导性。文中呈现了计算机断层扫描结果以及最终极为罕见的尸检结果,如结核性脑室炎和血管炎。将结合文献讨论不同诊断的可能性。本研究应被视为对结核性脑膜脑炎快速、准确诊断的一份贡献。

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