颅内占位性病变临床主要表现为头痛、呕吐、视乳头水肿等颅内压增高症状及神经功能缺损，文献有较多报道。但首发以精神症状为表现的颅内占位性病变国内专门报道不多，我们将有关病例总结如下：资料１入选标准：（１）大脑半球病变（肿瘤、脓肿、血肿）；（２）意识清楚... Clinical manifestations of intracranial space-occupying lesions mainly headache, vomiting, papilledema and other symptoms of increased intracranial pressure and neurological deficits, the literature has more reports. However, the first episode of intracranial space-occupying lesions characterized by psychiatric symptoms is rarely reported domestically. The relevant cases are summarized as follows: Data 1 Criteria for inclusion: (1) hemispheric lesions (tumors, abscesses and hematomas); (2) Consciousness ...