What disease is brain tuberculosis?

Hello! Brain tuberculoma is a granulomatous lesion formed after the central nervous system is infected with Mycobacterium tuberculosis. The incidence of brain tuberculoma is 65438 0.4%. It can happen anywhere in the brain, and more people are under the screen than above it, mainly children and teenagers.

cause

Brain tuberculoma is a granulomatous lesion formed after the central nervous system is infected with Mycobacterium tuberculosis. Tuberculosis usually secondary to other parts of the body. Clinically, brain tuberculoma can be divided into two types: 1. Full-body type 2. limited type.

symptom

1. Whole body type:

(1) signs of pulmonary tuberculosis such as hemoptysis, cough, fever, night sweats and emaciation.

(2) Accompanied by bone and joint tuberculosis, chronic purulent fistula of chest wall and cervical lymph nodes, or tuberculous meningitis.

(3) Signs of increased intracranial pressure and symptoms of cerebellar dysfunction: patients have headache, vomiting and papilla edema, symptoms of localized brain injury, nystagmus and limb ataxia.

2. Limited types:

(1) showed signs of tuberculosis such as low fever, night sweats, emaciation and rapid ESR.

(2) Symptoms of increased intracranial pressure and localized brain injury, such as headache, vomiting, papilla edema, hemiplegia, aphasia, seizures, nystagmus and limb ataxia.

cheque

1. Physical examination showed visual acuity and visual field changes, fundus edema or hemiplegia, unilateral sensory disturbance, aphasia and cerebellar signs.

2. Check whether there is tuberculosis in other parts of the body, such as chest tuberculosis and bone and joint tuberculosis.

3. The erythrocyte sedimentation rate is accelerated.

4. Generally, lumbar puncture can be done, and the pressure is often increased. The white blood cell count, protein and sugar chloride in cerebrospinal fluid showed that the protein quality increased, the number of cells was mainly monocytes, and the sugar content decreased.

5. X-ray film of skull, except signs of increased intracranial pressure, occasionally tuberculoma calcification.

6. CT scan and magnetic resonance imaging of the head show the size of the lesion.

7. If there is no head CT or MRI examination, you can choose SPECT examination, brain ultrasound examination or cerebral angiography examination, in which cerebral angiography can locate.

treat cordially

Principles of treatment

1. systemic type: first treated with anti-tuberculosis drugs.

2. Localized type: surgical resection of intracranial disease source.

3.65438+ 0-2 weeks before operation and 3-6 months after operation.