頁籤選單縮合
題名 | Cranial Tuberculous Epidural Abscess: Report of One Case= |
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作者 | Huang,Chi-ren; Hsu,Shih-pin; Chang,Wen-neng; Lui,Chun-chung; Wu,Hsiu-shan; Chen,Han-jung; Chen,Shang-der; |
期刊 | Acta Neurologica Taiwanica |
出版日期 | 19980900 |
卷期 | 7:3 1998.09[民87.09] |
頁次 | 頁209-212 |
分類號 | 415.938 |
語文 | eng |
關鍵詞 | Gallium-67 scintigraphy; Computed tomography; Cranial epidural abscess; Tuberculosis; |
英文摘要 | Cranial tuberculous epidural abscess (TBEPA) is rarely discussed. We report a case of pulmonary tuberculosis (TB) with cranial TBEPA. Pulmonary TB was diagnosed by plain film study of the chest with a positive sputum culture reslut. A gallium-67 scintigraphy revealed gallium-avid lesions in the bilateral lung fields and right frontal area. A craninal computed tomography CT) showed a low density lesion in the right frontal area with enhancenment. After treatment of anti-TB regimen for 3 months, a repeated brain CT showed an enlarged lesion over right epidural space with enhanced capsule and newly developed lesions of contrast enhanced nodule in the left parietal lobe. Surgical treatment with craniotomy proved the epidural lesion to be an abscess with insvasion of inner table of skull, and the acid-fast bacilli were revealed by Ziehl-Neelsen stain. Post-operative course was smooth without any definite neurological sequel. That crainial tuberculous epidural abscess (TBEPA) is more rarely reported than intraspinal TBEPA may be due to the relative low incidence of the cranial osteomyelitis, anatomical difference of the attachment between the dura matter and periosteum, and its relative silent clinical presentation. |
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