顱內結核瘤一病例報告

病人為3歲男童，主訴前額頭痛4個月，每天嘔吐兩次約一個月。理學檢查顯示反應遲鈍、活力差、兩側視乳頭水腫，MacEwen氏徵候陽性，其他神經檢查包括小腦功龍正常。心電圖正常。胸部X光顯示右下肺紋增加。電腦斷層掃描發現後腦窩右側有一囊狀據位性病灶，併有阻塞性水腦。因急性腦壓升高，開刀摘除。術後經胃液抽取液分析，結核菌素試驗及病理報告，證實為結核瘤。

關鍵字

無資料

並列摘要

This article presents a three-year-old boy who suffered from frontal headache for four months, vomiting and poor activity for one month. Physical examination disclosed bilateral papilledema and positive MacEwen sign, but neither focal neurologic nor cerebellar signs were found. A brain CT scan revealed a mass, about 3×3×4 cm in size, located at the midline of the posterior fossa and complicated with ventricular dilatation. A craniotomy was performed to relieve acutely increased intracranial pressure. The pathology findings were compatible with tuberculoma. Family history revealed that the patient's father and brother had tuberculous infection in the past. Anti-tuberculous treatment was given post-operatively. He remained well until the time of this, writing, one year after the treatment. Although tuberculous infection is not uncommon in Taiwan, intracranial tuberculoma is still a rare condition. It is hoped that this article will stimulate physicians to consider the possibility of intracranial tuberculoma when a patient presents symptoms of a space-occupying lesion, especially the one located in the posterior fossa.

並列關鍵字

tuberculoma ； increased intracranid pressure ； posterior cranial fossa

國際替代計量

顱內結核瘤一病例報告

未授權

主題瀏覽