脊髓神经胶质瘤的颅内转移在文献报告中甚少,而颅内神经胶质瘤向脊髓转移较常见。本文报道2例年轻女性患者一年内发生的肿瘤脑室转移。病例一:女性,38岁。1981年12月患者主诉右下肢无力、左下肢感觉异常6周。体检发现:右侧屈髋时肌力略差,膝反射活跃,T_(11)以下左侧针刺感觉减退。脊髓造影至T_3段未见异常。拟诊为横贯性脊髓炎。1982年1月底,病人突然再次出现剧烈头痛、呕吐和项强。双侧视乳头明显水肿。重复脊髓腔造影显示:T2、T3髓内病变,T3水平完全阻塞。头颅CT扫描显示双侧脑室轻度扩大。同年4月接受地塞咪松治疗并作脑室一颈静脉分流术,症状暂时缓解。并作4个多星期的颈胸髓深部放疗,剂量 The intracranial metastasis of spinal glioma is rarely reported in the literature, and intracranial glioma metastases to the spinal cord are more common. This article reports the occurrence of intracranial metastases in 2 young female patients within one year. Case I: Female, 38 years old. In December 1981, the patient complained of weakness in the right lower extremity and abnormal left lower extremity for 6 weeks. Physical examination revealed that the muscle strength was slightly worse on the right hip flexion, and the knee reflex was active, and the left acupuncture hypothyroidism was less than T_(11). There was no abnormality in myelography to T_3 segment. It is diagnosed as transverse myelitis. At the end of January 1982, the patient suddenly had severe headaches, vomiting and strong items again. Bilateral papilla obvious edema. Repeated spinal radiography revealed: T2, T3 intramedullary lesions, T3 levels completely blocked. CT scans of the head show a slight enlargement of the bilateral ventricles. In the same year in April of the same year, dexamethasone was used for treatment and a ventricular shunt was performed. Symptoms were temporarily relieved. And for more than 4 weeks of deep cervical spinal cord radiotherapy, dose