Chemical Meningitis Caused by Ruptured Craniopharyngioma: A Case Report

顱咽管瘤破裂所引發化學性腦膜炎：病例報告

陳勁宇(Chin-Yu Chen) ； 連振東(Jenn-Dong Lian) ； 俞芹英(Chin-Yin Yu) ； 李宜堅(Yi-Jan Li) ； 蔡宜璋(Yi-Chang Tsai)

《中華放射線醫學雜誌》 21卷2期 (1996/04) Pp. 107-110

摘要

顱咽管瘤囊腫破裂所引起的化學性腦膜炎，在臨床上是很少見的。我們報告一例51歲的男性病人，最初的症狀是慢性頭痛逐漸嚴重、視力變差、以及頸部僵硬。在整個病程的不同階段，安排了三次腦部電腦斷層掃描。而此病人一開始被當作細菌性腦膜炎來治療，但幾次的腦脊液細菌培養均為陰性。最後，因第三次腦部電腦斷層掃描診斷顱底膿瘍，病人接受手術治療，結果病理證實為一個顱咽管瘤。本文將討論不同階段的病程，電腦斷層影像的變化。

關鍵字

腦腫瘤，電腦斷層 ； 顱咽管瘤 ； 腦膜炎

並列摘要

Chemical meningitis induced by a ruptured cyst of craniopharyngioma is rare. This report concerns a 51-year-old male who initially suffered from chronic headache with aggravation, visual disturbance and neck stiffness. A computed tomography of the brain was done at different stages of the disease course. The patient was treated for bacterial meningitis at first, but repeated cerebrospinal fluid cultures were all negative. Finally, after surgical intervention, the pathologist diagnosed as a ruptured cystic craniopharyngioma. The CT images in different stages are presented and discussed.

並列關鍵字

Brain neoplasms, CT ； Craniopharyngioma ； Meningitis