本文分析77例脑肿瘤伴发精神障碍,以精神症状为首发症状者14例(22.07%),其中以言语和情感障碍为多见,分别为32.46%和31.16%。肿瘤定位的58例中额叶30例(51.8%),颞叶12例(20.7%)。肿瘤定侧的63例中左右各28、22例。经病理诊断的27例中星形胶质细胞瘤11例(40.7%),脑膜瘤9例(33.3%)。并就发生率、精神症状与肿瘤部位,性质之间关系及误诊问题进行讨论。 This article analyzes 77 cases of brain tumors associated with mental disorders, mental symptoms as the first symptom in 14 cases (22.07%), of which speech and emotional disorders are more common, were 32.46% and 31.16%. There were 30 cases (51.8%) of frontal lobes and 12 cases (20.7%) of temporal lobes in 58 cases of tumor location. Tumors in 63 cases of about 28,22 cases. The pathological diagnosis of astrocytoma in 27 cases, 11 cases (40.7%), meningiomas in 9 cases (33.3%). And discuss the incidence, the relationship between mental symptoms and the tumor site, the nature and misdiagnosis.