1临床资料患者男,51岁。2d前干活中突然眩晕、颞部持续性胀痛,感恶心、未呕吐。当时未及时诊治,第2天症状进一步加重,并出现左侧肢体麻木、全身乏力、意识状态差。入院后头部CT检查右侧内囊、枕叶脑梗死。既往未发现高血压、糖尿病史。查体BP14/10kPa、心肺腹(-)、嗜睡表现、双 1 Clinical data Patient male, 51 years old. Sudden dizzy 2D before work, persistent pain in the temporal, nausea, vomiting. At that time did not timely diagnosis and treatment, the first two days further aggravate the symptoms and left numbness, malaise, poor consciousness. Head CT examination after admission to the right internal capsule, occipital lobe cerebral infarction. No previous history of hypertension or diabetes. Physical examination BP14 / 10kPa, cardiopulmonary abdominal (-), lethargy performance, double