1病例资料患者女性,49岁,以“口齿不清2 d”为主诉于2011年10月27日收入我院神经内科。患者于2011年10月25日晨起出现口齿不清、舌头僵硬,无法发“斯”等平舌音,无发热,无头痛、头晕、恶心、呕吐,无视物旋转、复视、耳鸣,无语言理解障碍,无吞咽困难、饮水呛咳,无肢体麻木、肢体活动障碍,无意识障碍、抽搐、二便失禁。当日16:00症状稍减轻,18:00症状基本缓解。2011年10月26日晨再次出现类 1 Case data Female patients, 49 years old, with “stubborn 2 d ” mainly complaints in October 27, 2011 income in our hospital neurology. Patient began to appear speechless on the morning of October 25, 2011 with stiff tongue and could not pronounce Pingyin sound without fever, headache, dizziness, nausea, vomiting, blind rotation, diplopia and tinnitus No dyslexia, no difficulty swallowing, coughing in drinking water, no numbness in limbs, physical activity disorder, unconsciousness, convulsions, and incontinence. At 16:00 on the same day the symptoms were slightly relieved, and the symptoms at 18:00 were basically relieved. Class appeared again on the morning of October 26, 2011