1病例报告患者男，48岁。因被劫后头痛、头昏、右侧肢体偏瘫2d来我院。查体：体温37．2C，神志清楚，颈强（＋），颅神经检查无阳性体征。右上、下肢肌力Ⅱ级，腱反射亢进，巴宾斯基征阳性。左侧正常。头颅CT示：颅内有12cm长铁钉存留。铁钉从左顶部中线旁1cm处钉入，穿过中央 A case report patients male, 48 years old. After being robbed of headache, dizziness, right hemiplegia 2d to our hospital. Physical examination: body temperature 37.2C, conscious, strong neck (+), cranial nerve examination no positive signs. Right upper and lower extremity muscle strength Ⅱ, tendon hyperreflexia, Babinski sign positive. Left normal. Head CT showed: There are 12cm long iron nail retention. Nails from the left top of the midline 1cm Department nailing through the center