对２０例颅内结核瘤的临床特点、ＣＴ改变，诊断及治疗进行分析。首发症状中，天幕上病变以癫痫居多，天幕下病变以颅内压增高症状居多。头部ＣＴ表现最常见有均匀增强和环形增强两种类型。对本病诊断应全面综合考虑，ＣＴ改变对诊断有重要价值。治疗上大多可行内科治疗，少数可施手术治疗。本病预后良好。 The clinical features, CT changes, diagnosis and treatment of 20 cases of intracranial tuberculoma were analyzed. The first symptom, the majority of epilepsy lesions on the sky, the majority of intracranial hypertension symptoms under the canopy lesions. Head CT performance is the most common uniform enhancement and ring enhancement of two types. The diagnosis of this disease should be comprehensive and comprehensive consideration, CT changes have important value in the diagnosis. Medical treatment is mostly feasible medical treatment, a small number of surgical treatment can be applied. The disease prognosis is good.