例1 女性,32岁,头痛呕吐2月余伴乏力,左侧肢体瘫,外院开颅未见异常,行去颅骨瓣减压,继之颅骨缺损部局部隆起。查体:左肢体肌张力增高,神经反射增强,细查眼球及全身皮肤无黑痣。脑血管造影片显示右大脑前动脉弧形左移位,侧裂三角下移。手术见右顶额叶表面多处黑色肿瘤组 Example 1 female, 32 years old, headache and vomiting in February with fatigue, paralysis of the left limb, outside the hospital craniotomy no exception, go to the skull flap decompression, followed by local skull defect uplift. Physical examination: left limb muscle tension increased reflex nerve, scrutinizing the whole body and the skin no mole. Cerebrovascular angiography showed left arcuate anterior cerebral artery displacement, lateral fissure triangle down. Surgical see the right top of the frontal lobe surface of multiple black tumor group