报告25例颅脊部肿瘤,髓外型15例;髓内型10例。疼痛为首发症状,颈项部、枕下部根性疼痛多见;其次为肢体活动障碍和感觉障碍;颅内高压及后组颅神经损害症状并不多见。发病早期没有完全一致的综合征,较易误诊。CT扫描及脑室Conray造影有助于诊断。小脑延髓池造影具有某些危险性。手术治疗髓外型肿瘤,效果较为理想,髓内型者切除较为困难,效果较差,但可减缓痛苦,延长生命。 Report of 25 cases of cranial spondylosis, extramedullary 15 cases; 10 cases of intramedullary. Pain as the first symptom, neck, suboccipital root pain more common; followed by limb movement disorders and sensory disturbances; intracranial hypertension and cranial nerve damage after the group of symptoms are rare. The early onset is not exactly the same syndrome, easier to misdiagnosis. CT scan and intraventricular Conray angiography help diagnosis. Cerebellar bulbar pool angiography has some risks. Surgical treatment of extramedullary tumors, the effect is ideal, intramedullary resection is more difficult, the effect is poor, but can ease the pain and prolong life.