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  • Title: [A clinical report of five cases of central nervous system miliary tuberculomas first diagnosed by neurologists].
    Author: Huang X, Wang XY, Zhu ZH, Qi XK, Yu YX.
    Journal: Zhonghua Nei Ke Za Zhi; 2017 Mar 01; 56(3):205-207. PubMed ID: 28253602.
    Abstract:
    To explore the clinical characteristics and imaging features of miliary tuberculomas in central nervous system(CNS). A total of 5 cases diagnosed with tuberculosis in CNS first diagnosed by neurologists in Navy General Hospital of PLA were enrolled in the study. All clinical and imaging data were collected and analyzed retrospectively. The main initial symptoms were fever and headache (4/5). Multiple diffused miliary lesions were shown by brain MRI, with maximum diameter ranged from 1-4 mm and ring-shape or nodular enhancement after gadolinium injection. As mycobacterium tuberculosis could seldomly be found in serum and cerebrospinal fluid, contrast MRI remains the effective method for detecting miliary tuberculomas in CNS. 分析中枢神经系统(CNS)粟粒性结核瘤的临床、实验室及影像学特点。回顾分析海军总医院确诊的5例CNS粟粒性结核瘤患者的临床资料，首发症状多为头痛伴发热(4/5)，MRI平扫可检出颅脑和髓内多发粟粒样结节影，直径1～4 mm，MRI增强可见结节样或环形强化。CNS粟粒性结核瘤患者血清及脑脊液往往难以找到结核分枝杆菌作为诊断依据，MRI增强扫描仍然是检出CNS粟粒性结核瘤的有效方法。.
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