J Korean Radiol Soc.
1981 Dec;17(3):414-422. 10.3348/jkrs.1981.17.3.414.
Diagnosis of intracranial tuberculosis by computed tomography
- KMID: 2463371
- DOI: http://doi.org/10.3348/jkrs.1981.17.3.414
Abstract
- 25 cases of clinically proved intracranial tuberculosis were studied by CT in the Hanyang Hospital from Feb. 1979 to July 1981. The medical records and CT films were reviewed. The resuls were as follows; 1. The agedistribution was broad from 8 months to 43 years old. The incidence was highest in the age group from 0 to 5 yearsold. The male to female ratio was 1.8:1. 2. Clinical symptoms and signs revealed headache, nausea and vomiting, neck stiffness, postitive Kernig's sign, and paralysis of the extremites. 3. At the time of CT examination 8 outof 25 cases were conscious, stuporous in 14 and unconscious in 3. 4. In CT, total or partial obliterations of the basal cisterns were observed in 21 out of 25 cases. 5. Intense abnormal contrast enhancement of the basal cisternwere observed inn 9 out of 25 cases. 6. Tuberculoma was found in 3 cases. Among these 3 cases had multipletuberculomas and 1 case had single tuberculoma. 7. Moderate to marked dilatations of both lateral ventricles were observed in 21 cases. The 3rd and 4th ventricles were also dilated in 19 and 12 cases respectively. 8. 2 cases of cerebral infaraction were observed, all in the bilateral basal ganglias. 9. Intracranial calcification were observed in 2 cases who had histories of tuberculous meningitis, 4 to 9 years prior to CT examinations. The calcifications were multiple and located in the suprasellar areas.
