【正文】 orbital muscles (arrow) (a) and tongue (arrows) (b) as well as in the cranial and cervical muscles. c Sagittal spine T2W image reveals hyperintense lesions in nearly every paraspinal muscle (arrows) 第五十九頁(yè)，共六十八頁(yè)。 第六十六頁(yè)，共六十八頁(yè)。 內(nèi)容總結(jié) TUBERCULOUS MENINGITIS。 ? Albendazole, 阿苯達(dá)唑 15mg/kg/d in three doses taken with meals, and continued for 8 days, is the preferred therapy. ? Praziquantel, 吡喹酮 50mg/kg/d in three divided doses, can also be used, but blood levels are reduced by anticonvulsants 抗驚厥藥 and corticosteroids皮質(zhì)類固醇 , which are often required in these patients. 第六十一頁(yè)，共六十八頁(yè)。 第五十三頁(yè)，共六十八頁(yè)。 ? They include seizures, headache, focal neurologic signs, hydrocephalus腦積水 , myelopathy脊髓病 , and subacute meningitis. Peripheral blood eosinophilia 嗜酸性細(xì)胞增多癥 , soft tissue calcifications鈣化 , or parasites寄生蟲(chóng) in the stool 糞便suggest the diagnosis. 第五十頁(yè)，共六十八頁(yè)。當(dāng)蟲(chóng)體死亡或液化時(shí)，囊腔內(nèi)為暗褐色混濁液體，內(nèi)含大量蛋白質(zhì)、當(dāng)蟲(chóng)體液化被吸收后囊腔變小，囊壁增厚，囊蟲(chóng)死后常發(fā)生鈣化。 ? The risk of using corticosteroids may be high, however especially if tuberculous meningitis has been mistakenly diagnosed in a patient with fungal meningitis. Therefore, if fungal meningitis has not been excluded, antifungal therapy should be added along with corticosteroids. 第三十七頁(yè)，共六十八頁(yè)。藥物治療原那么：早期、聯(lián)合、足量、長(zhǎng)期、頓服 第三十二頁(yè)，共六十八頁(yè)。 第二十七頁(yè)，共六十八頁(yè)。 結(jié)核球 第十九頁(yè)，共六十八頁(yè)。 ? 動(dòng)脈炎可導(dǎo)致腦堵塞，而顱底部炎癥反響和纖維化可壓迫神經(jīng)。 第九頁(yè)，共六十八頁(yè)。s population is currently infected with the TB bacillus, and more than eight million new cases are diagnosed each year. 第二頁(yè)，共六十八頁(yè)。 Causes ? Risk factors include a history of: AIDS Excessive alcohol use Pulmonary tuberculosis Weakened immune system 第五頁(yè)，共六十八頁(yè)。 第十頁(yè)，共六十八頁(yè)。 第十四頁(yè)，共六十八頁(yè)。 Laboratory Findings ? Only onehalf to twothird of patients show a positive skin test for tuberculosis or evidence of active or healed tubercular infection on chest xray. 第二十二頁(yè)，共六十八頁(yè)。 ? MRI appearance of the typical pattern of central nervous system tuberculous meningitis 第三十頁(yè)，共六十八頁(yè)。 ? pyrazinamide, 吡嗪酰胺 25mg/kg。 ? Cysticercosis is mon in Mexico, Central and South America, western and southern Africa, India, China, and southeast Asia. 第四十頁(yè)，共六十八頁(yè)。 第四十五頁(yè)，共六十八頁(yè)。 ? The CT scan or MRI may show contrastenhanced mass lesions with surrounding edema, intracerebral calcifications, or ventricular enlargement. 第五十二頁(yè)，共六十八頁(yè)。 第五十六頁(yè)，共六十八頁(yè)。 第六十三頁(yè)，共六十八頁(yè)。