摘要
目的 为了探讨结核性蛛网膜炎并肉芽肿所致脊髓压迫症的临床、病理和放射学特征。方法 报道 1例结核性蛛网膜炎并巨大结核性肉芽肿所致髓外硬膜内脊髓压迫患者。结果 1例 2 3岁男性结核性脑膜炎患者 ,在治疗过程中脊髓和神经根损害征进行性加剧 ,MRI显示T2 ～T10 脊髓后方长约 2 0～ 2 1cm占位性病灶 ,手术证实髓外硬膜内病灶并且仅仅部分切除 ,病理证实为结核性肉芽肿。结论 这是 1例罕见的巨大髓外硬膜内结核性肉芽肿所致脊髓压迫症 ,脊髓损害征在结核性脑膜炎正规治疗后进行性加剧 ,并且预后较差。
Objective To discuss the clinical,pathological and radiological features of spinal cord compression from tubercolous arachnoiditis with granuloma. Methods A case of tubercolous arachnoiditis with huge intradural extramedullary spinal cord compression from tubercolous granuloma was reported.Results The features of cord and roots involvement in a 23 year old man with tuberculous meningitis developed during treatment of tuberculous meningitis, MRI showed a posterior compressive lession (20～21 cm)between T 2～T 10 . At operation an intradural extramedullary lession was found and excised partially which was confirmed as tubercolous granuloma pathologically.Conclusion To our knowledge this is a rare case of tubercolous arachnoiditis with a huge intradural extramedullary spinal cord compression from tubercolous granuloma in which there were progressive clinical manifestations of spinal cord compression following treatment for tuberculous meningitis and the poor prognosis.
出处
《卒中与神经疾病》
2001年第6期357-359,共3页
Stroke and Nervous Diseases
