作者报道4例临床误诊、以脑积水为表现的霉菌性脑膜炎.4例均为男性.例1,22岁.76年4月出现发热、头痛、呕吐、颈抗、双手震颤、体重减轻,初诊为多发性硬化.4个月后又出现嗜睡、水平样眼震,视乳头水肿,右侧第Ⅵ对颅神经麻痹,右侧深腱反射亢进和辨距障碍.脑血管造影显示后颅窝血 The authors reported 4 cases of clinical misdiagnosis, hydrocephalus for the performance of fungal meningitis .4 cases were male .Examples 1,22 years old .76 years in April fever, headache, vomiting, cervical resistance, tremor, weight loss , First diagnosed as multiple sclerosis .4 months later appeared drowsiness, horizontal nystagmus, papilledema, the right side of the first on the cranial nerve palsy, the right side of the tendon hyperreflexia and distance disorders .Cear angiography showed the posterior cranial Wound blood