The patient was admitted to the hospital with the chief complaint of “pain in the neck with intermittent numbness in both hands for 20 days”. The patient was admitted to the Second Affiliated Hospital of Lanzhou University on September 14, 2015, and the cranial MRI showed: cervical medulla and upper thoracic spinal cord The cranial MRI showed multiple cystic lesions in the cervical medulla and upper thoracic spinal cord, with multiple nodular enhancement in the wall of some cysts and near the cerebellar surface of the cerebellar hemispheres. On September 23, 2015, the patient came to the clinic for further surgical treatment and was admitted to the neurosurgery department with “occupying lesion in the cervical spinal canal”. He had a fatty liver and no other underlying disease. Specialized examination did not show any significant abnormality. MRI scan+enhancement of the Second Affiliated Hospital of Lanzhou University (2015-9-14) showed multiple cystic lesions in the cervical medulla and upper thoracic spinal cord, with multiple nodular enhancement in some of the cystic walls and near the cerebellar surface of the cerebellar hemispheres, and hemangioblastoma was considered. The cranial MRI scan+enhancement of the Armed Police General Hospital: multiple patchy long T1 and long T2 signal shadows were seen in the bilateral cerebellar hemispheres, medulla oblongata and cervical medulla, with significant enhancement after enhancement scan, the larger one was located in the right cerebellar hemisphere, size about 1.12 cm*0.65 cm. The bilateral cerebral hemispheres were symmetrical, and speckled long T1 and long T2 signal shadows were seen under the left frontal lobe and bilateral parietal cortex, with high signal in FLAIR. The brain pool, sulcus and ventricular system showed no significant abnormalities, the midline structures were centered, and the brainstem showed no significant abnormalities. There was no significant abnormality in the midline structures and no abnormality in the brainstem. There were multiple lesions in the bilateral cerebellar hemispheres, medulla oblongata and cervical medulla. He was admitted to the hospital to complete relevant preoperative examinations and was scheduled to undergo bilateral cerebellar hemisphere, brainstem medulla oblongata and cervicothoracic spinal canal tumor resection on a later date. After perfecting the preoperative examination, he underwent posterior median approach bilateral cerebellar hemisphere, brainstem, and cervicothoracic medullary multiple tumor resection under general anesthesia on September 27, 2015, and four tumors were resected in the cerebellum and medulla first, and then four tumors were resected in the cervicothoracic medulla in a similar surgical manner. After 1 day of observation, the patient’s voluntary breathing was not affected, so he was removed from the tracheal intubation and transferred back to the neuro-oncology ward. The postoperative review of cranial CT showed that the patient was given postoperative nerve nutrition and other symptomatic support treatment. At present, the patient’s condition is stable, the stitches have been removed from the operated area, and the wound is healing well. He is still hospitalized for observation and will be discharged in the next two days. The patient will be discharged in the next two days.