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J Korean Neurol Assoc. 1983;1(2):21-30.
- A Study on Tuberculous Meningitis in Adults
- With special reference to abnormal neurologic sings and ?prognosis -
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Jae-Kyue Rho, M.D
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Department of Neurology, Seoul National University
- 성인 결핵성 뇌막염의 고찰 (신경학적 이상소견과 예후를 중심으로)
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서울대학교 신경과.
- Abstract
- Author reviewed clinical and labaratory findings in seventy-five adult patients of tuberculous meningitis aged from 15 to 73 years with special reference to abnormal neurologic signs and prognostic factors of their outcome.
Majority of their diagnosis were made by presumptive basis except six cases of AFB
positive in CSF. They were classified into 3 stages by clinical criterions at admission.
Five (6.7% ) of them died, and seven patients (9.3%) discharged with aggravated results;
twelve (16%) of them improved with some sequelae at discharge, and fifty-one (68%)
improved without sequelae. These outcomes correlated well with their clinical stages at
admission.
Observed abnormal neurologic findings and their percentages were as followings; meningeal
irritation sign (69%), SIADH (16%), ocular paresis (25%), papilledema (12%), visual loss (5%),
hemiparesis (13%), radiculomyelopathy (9%), seizure (9%), cerebellar dysfunction (7%), and
peripheral type of facial palsy (3%).
CSF findings at admission and during illness were examined also, but they had a little
correlation with the clinical course.
Accompanied tuberculous infections of other organs were discovered in forty cases (53%) of
the patients.
Keywords :
- 초록
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