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小兒結核性 腦膜炎에 倂發한 腦水腫에 對한 臨床的 觀察

A Clinical Observation for Hydrocephalus in Tuberculous Meningitis in Infancy and Childhood

소아과 1969년 10권 11호 p.7 ~ 11
소속 상세정보
宋鎭彦/Song, Jin Un 金潗/徐哲星/Kim, Jip/Suh, Chul Sung

Abstract


A group of 10 cases of tuberculous meningitis with hydrocephalus was studied in Taegu Presbyterian Hospital from Jan. 1965 to Sept. 1966, and neurologic observations, X-ray skull findings, cerebrospinal fluid findings and pneumoventriculographic findings were evaluated.
Results are as follows :
1) Most cases of hydrocephalus due to basal cistern obstruction developed within 3 weeks from the onset of the tuberculous meningitis.
2) The major neurologic findings of hydrocephalus in tuberculous meningitis are impairment of level of consciousness and meningeal signs.
3) The skull X-ray findings on these patients were widening of the sagittal and coronal sutures.
4) The ventricular fluid demonstrated mild pleocytosis while the cerebrospinal fluid from the lumbar subarachnoid space revealed an ordinal picture for tuberculous meningitis.
5) The pneumoventriculogram obtained by the puncture of the right lateral ventricle with a 2& gaze spinal nedle through the coronal suture revealed an air obstruction shadow at the interpe duncular and chiasmatic cisterns with dilated ventricles.

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