患者,男,65岁,右利者,于1986年因剧烈头痛,突然失语,经头颅CT检查示左侧顶叶皮质下出血,治疗1个月,语言完全恢复。于1993年2月5日早起床时发现说话不清,饮水自右侧口角流出,无明显意识障碍,四肢活动自如,无头痛、恶心、呕吐及大小便失禁,既往有高血压病史10年。 查体 Bp:21.3/13.3kPa,神志清楚,合作,颈无抵抗,问话能理解,讲话不清,右侧鼻唇沟稍变浅,伸舌稍偏右,四肢肌张力、肌力正常,掌颏反射(+),头颅CT示左侧顶叶皮质下有2.0cm×1.8cm高密度区,CT值 The patient, male, 65 years old, right-winger, died of sudden aphasia due to severe headache in 1986 and showed cortical hemorrhage on the left parietal by CT scan. After 1 month of treatment, the language was completely recovered. When he got up early on February 5, 1993, he found that his speech was unclear. His drinking water flowed out from the right side of his mouth. There was no obvious disturbance in consciousness. His arms and legs were free to move. He had no history of headache, nausea, vomiting and incontinence. He had a history of hypertension for 10 years. Physical examination Bp: 21.3 / 13.3kPa, conscious, cooperation, cervical non-resistance, interrogation can understand, speech is unclear, the right nasolabial fold slightly shallow, tongue slightly right, limb muscle tone, muscle strength is normal, Palm chin reflex (+), cranial CT showed the left parietal cortex 2.0cm × 1.8cm high density, CT value