[背景 ]总结分析老年人颅内肿瘤的临床特点 ,探讨如何作到早期诊断、早期治疗、减少并发症、降低死残率 .[病例报告 ]4 1例老年人颅内肿瘤患者全部行手术治疗 ,术后恢复良好 2 4例 ,好转 7例 ,无改变 4例 ,死亡 6例 .术前误诊、漏诊率达 66% .[讨论 ]老年人颅内肿瘤多并存其他疾病 ,详细了解病情 ,做必要的补助检查 ,并做好鉴别诊断是预防误诊、漏诊的重要措施 [Background] To summarize and analyze the clinical features of intracranial tumors in the elderly and to explore how to make early diagnosis, early treatment, reduce complications and reduce the mortality rate. [Case Report] Surgical treatment of 41 cases of intracranial tumors in the elderly , Postoperative recovery was good in 24 cases, improved in 7 cases, no change in 4 cases, 6 patients died of misdiagnosis, misdiagnosis, missed diagnosis rate of 66%. [Discussion] The elderly with multiple intracranial tumors and other diseases, learn more about the disease, do The necessary subsidies and differential diagnosis are important measures to prevent misdiagnosis and missed diagnosis