ĐẶC ĐIỂM HÌNH ẢNH CỘNG HƯỞNG TỪ LAO NÃO, MÀNG NÃO – PHÂN TÍCH 45 TRƯỜNG HỢP CHẨN ĐOÁN VÀ ĐIỀU TRỊ TẠI BỆNH VIỆN PHỔI TRUNG ƯƠNG

Abstract

Objectives: Characterization of skull magnetic resonance imaging (MRI) of cases of tuberculosis of the brain and meninges with clinical signs, confirmed by laboratory tests. Subjects: 45 patients were diagnosed with tuberculous brain, meningoencephalitis by 1 of 2 or both methods of testing cerebrospinal fluid (DNT): Gene Xpert and MGIT liquid culture. Methods: retrospective, descriptive, cross-sectional. Results: Average age: 28.2 ± 21,058; male/female is 1.5/1; symptoms: headache (73.3%); vomiting, nausea (60%); fatigue, poor appetite (62.2%); perceptual disturbances (37.8%); clinical diagnosis: Stage I: 26.7%; stage II: 48.9%; stage III: 24.4%. There were 84.4% brain abnormalities on MRI: increased contrast enhancement from the meninges at the base of the skull 66.7%; increase in enhancement of Sylvial slit by 2.2%; increase infiltration of bottom tank by 15.6%; Hydrocephalus 31.1%; signs of "tuberculous" 44.4%; signs of cerebral infarction 13.3%; non-adherent lesions 2.2%. There were no cases of abnormal images of cranial nerves. Conclusion: Brain MRI plays an important role in orienting and supporting the diagnosis of tuberculous brain, meningoencephalitis..