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例1,男,46岁,2年前开始间歇性头痛、头晕,逐渐加重,有时伴有恶心、呕吐。5个月后,突然眼睑及口唇抽搐,嘴吐白沫,约10分钟后消失,此后常有类似发作。入院前几天头痛加剧,呕吐频繁,呛食,神志有时不清。检查:精神淡漠,双眼底视乳头水肿。右中枢性面瘫。咽反射迟缺,悬雍垂偏左。左例偏瘫。双腹壁反射消失。提睾反射迟钝。膝反射左侧活跃。脑脊液检查:潘氏试验(+),细胞数10个/mm~3,糖定量30—40mg％。双侧颈内动脉造影:右侧大脑前动脉向左侧呈弧形移位,虹吸部C1、2聚拢。左侧虹吸部向下受压呈“u”字形,大脑前动脉呈弧形向左移位,距中线
Example 1, male, 46 years old, began intermittent headache 2 years ago, dizziness, and gradually increased, sometimes accompanied by nausea and vomiting. After 5 months, suddenly eyelid and lips twitch, spit the mouth of the mouth, disappear after about 10 minutes, often after a similar attack. A few days before admission, headache increased, frequent vomiting, choke food, conscious sometimes unclear. Check: indifferent, binocular nipple edema. Right central facial paralysis. Delayed pharyngeal reflex, left uvula left. Left hemiplegia. Double abdominal reflex disappears. Cremaster reflex slow. Knee reflex left active. Cerebrospinal fluid examination: Pan test (+), the number of cells 10 / mm ~ 3, sugar content 30-40mg%. Bilateral internal carotid angiography: right anterior cerebral artery to the left arc-shaped shift, siphon C1,2 gather. Left siphon downward pressure was “u” -shaped, anterior cerebral artery arc to the left shift, from the midline