Vai trò của cộng hưởng từ trong chẩn đoán và theo dõi điều trị lao não, màng não

SUMMARY

Purpose: Characteristic description image and evaluate the role of CHT in diagnosis and follow up and treatment of meningitis tuberculosis.

Subjects and methods: Prospective and retrospective description 45 patients meningitis tuberculosis with evidence of TB bacteria in the cerebrospinal fluid undergoing MRI before and after treatment from July 2019 to September 2020. Comparison of lesions on MRI before and after tuberculoma, tuberculosis meningitis treatment.

Result: In a total of 45 study patients, the average age is 28.8, male / female = 1.5, the rate of patients developing lesions on MRI before treatment (88.9%), The most common signs of damage in patients with tuberculosis of the brain, the common meningitis before treatment include: sign of meningitis enhancement (84.4%), basal meningeal enhancement (66.7%), Sylvian fissures (6.7%) , meninges of supersellar cistern (17.8%), tuberculoma (44.4%), hydrocephalus (31.1%), cerebral infarction (13.3%). Following 40 patients with meningeal tuberculosis lesions on CHT after treatment, the rate of detecting damage after treatment is 75%, of which: signs of meningitis enhancement (72.5%), basal meningeal enhencement (37.5%), sylvian fissures (2.5%), meninges of supersellar cistern (7.5%), tuberculoma (42.7%), hydrocephalus (20%), infarction cerebral (2.5%).

Keyword: tubercoulosis meningitis, tuberculoma, MRI