目的探讨人脑孟氏迭宫裂头蚴病的临床病理特点。方法分析本室１９８２～１９９７年确诊的８例脑裂头蚴病的病理资料，复习其病史和影像学资料。结果本病的病理特点为：１蚴虫虫体为实体，无体腔，具特征性体壁；２蚴虫虫体内散在分布的同心圆性圆形或椭圆形的石灰小体及单个肌纤维；３脑内有新旧不一的多发性小脓肿。ＣＴ及ＭＲＩ所见类似胶质瘤和炎症灶。７例有密切接触池塘、河水史。结论本病临床诊断较困难，但有其特征性的病理表现可据以确诊，主张ＣＴ立体定向术用于诊断和治疗，饮用生水可能是近年的主要感染途径。 Objective To investigate the clinicopathological features of Monteggia schizophylvae in human brain. Methods The pathological data of 8 patients with cerebral sparganosis confirmed in our hospital from 1982 to 1997 were analyzed and their medical history and imaging data were reviewed. Results The pathological features of the disease were: 1) larvae were the entity, no body cavity and had characteristic body wall; 2) concentric circular or oval lime bodies and single muscle fiber scattered in the body ; 3  brain have different old and new multiple small abscess. CT and MRI seen similar gliomas and inflammatory lesions. Seven cases had close contact with ponds and river history. Conclusion The clinical diagnosis of this disease is more difficult, but its characteristic pathological findings can be diagnosed. It is advocated that CT stereotactic surgery is used for diagnosis and treatment. Drinking raw water may be the main route of infection in recent years.