多个脑内损害的多中心胶质瘤少见足以使人忽视.作者经历了2例,错误地诊断为脑多个转移性病变或多个脑脓肿.由于CT扫描对多发性颅内病变的发现有了明显改善,鉴别诊断时需要着重考虑多中心胶质瘤,例1,61岁男性,3周前有短暂的精神错乱与言语障碍.检查有眼底视神经乳头水肿,右侧同侧偏盲与左侧中枢性面雍.CT扫描示右侧视丘、右侧 Multi-center gliomas with multiple intracerebral lesions are rare enough to be overlooked. The author experienced 2 cases and was incorrectly diagnosed with multiple metastatic brain lesions or multiple brain abscesses. The CT scan was used to detect multiple intracranial lesions. With significant improvement, the differential diagnosis needs to focus on multicentric gliomas. Case 1, 61-year-old man, had transient mental confusion and speech impairment three weeks ago. Examination of retinal papilledema, right unilateral hemianopia and left Lateral central facial paralysis. CT scan showing right lateral mound, right side