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이동환,최득린,김남철,이상주,박상철,박재옥,김창휘,김기정 순천향대학교 1983 논문집 Vol.6 No.1
The following results were obtained through the clinical review and CT study of 12 cases of Tuberculous meningitis which were treated at the Soonchunhyang Hospital (Department of Pediatrics) during the period of 1/2 years from March 1981 till September 1982. 1. The highest incidence by age was noted as 6 6.7% under the age of 3 years. Male to female ratio was 1 : 1.4. 2. The chief complaints on admission were in order of frequency, high fever. vomiting, coughing and irritability. Meningeal irritation sign was noticed in 75% of cases. 3. Tuberculin test revealed positive in 75% of cases. 4. Chest x-Ray revealed tuberculous lesion in 6 6.7% of all cases and miliary tuberculosis was found in 33.3% of all cases. 5. In 66.7% of cases leukocyte count in the CSF was 50∼500/㎣. In 75% of all cases, differential count of lymphocyte was over 75%. Protein level ranged from 50 to 300mg% in 83.3% of all cases. Sugar level in the cerebrospinal fluid was decreased below 40mg% in the 58.3% of all cases. 6. CT findings were as follows ⓐ obliteration of the basal cisterns were observed in 2 out of 7 cases (28.6%). ⓑ Intence abnormal contrast enhancement of the basal cistern were observed in 1 out of cases (14.3%). ⓒ Moderate to marked dilatation of both lateral ventricles were observed in 4 cases(57%) ⓓ I case of cerebral infarction was observed. 7. As for clinical stage of Tuberculous Meningitis 10 cases were in stage l & 2 on admission and all of them were recovered. 2 cases were in stage 3, 1 case died and 1 case recovered. Mortality rate was 8.3%.