作者报道1989年以来收治的5例脑内泡状棘球蚴囊肿,均经病理证实。其中3例合并肝泡状棘球蚴,2例肝、肺均有泡状棘球蚴。此病其临床表现及CT扫描均不典型,常常被误诊为颅内胶质瘤。因此凡对来自牧区该病流行区患者,有颅内高压症状,CT显示多个大小不等的圆形低密度病灶排列为葡萄状,结合包虫三项试验常可做出正确诊断。本病以手术治疗为主,口服丙硫咪唑等驱虫药物无效。 The authors report 5 cases of cystic echinococcoccus cyst in the brain since 1989, were confirmed by pathology. Among them, 3 cases had hepatocellular echinococcosis, and 2 cases had bulimia of cystic echinococcosis. The clinical manifestations of the disease and CT scan are not typical, often misdiagnosed as intracranial glioma. Therefore, from the pastoral areas of endemic patients with intracranial hypertension symptoms, CT showed a number of different sizes of circular low-density lesions arranged in grapes, combined with hydatid three tests can often make the correct diagnosis. The disease is mainly treated by surgery, oral anti-thiazole acetaminophen and other drugs ineffective.