Labay Matías M V, Sugar Bescos C, Reynes Muntaner J, Gómez Rivas B, Martínez Ibars E, Alcaraz Hurtado P
An Esp Pediatr. 1982 Nov;17(5):359-65.
Authors present their experience in 4 children with acute tuberculous meningitis. All of them were in deep coma, with abnormal motor responses, documented increased intracranial pressure and severe hydrocephallia. External ventricular drainage during 18 to 35 days, plus specific antituberculous treatment was performed in all of them without untoward effects. Clinical evolution was excellent. This particular type of tuberculous meningitis and its' physiopathology are reviewed. Importance of computed cranial tomography in early diagnosis and treatment and follow up evaluation are stressed.
作者介绍了他们对4例急性结核性脑膜炎患儿的治疗经验。所有患儿均处于深度昏迷状态，有异常运动反应，颅内压升高及严重脑积水的记录。所有患儿均进行了18至35天的脑室外引流，并加用了特异性抗结核治疗，未出现不良反应。临床病情进展良好。本文对这种特殊类型的结核性脑膜炎及其病理生理学进行了综述。强调了头颅计算机断层扫描在早期诊断、治疗及随访评估中的重要性。
