患者女,42岁,于3年前开始出现间歇性右侧头痛,有时伴恶心、呕吐、持续数分钟或数小时缓解。多因劳累、情绪、进食发作。多处就诊,均诊为偏头痛、服止痛药有效。2月前头痛又发作,2天后出现左侧上下肢无力,活动不灵,复视,伴言语不流利,半月后头痛又发作,伴左侧肢体无力加 Female, 42, began intermittent right-sided headache three years ago, sometimes with nausea and vomiting, and continued for several minutes or hours of remission. More due to fatigue, emotional, eating episodes. Multiple visits, were diagnosed as migraine headache, effective painkillers. 2 months ago headache and another attack, 2 days after the left upper limb weakness, activity is not working, diplopia, with the words are not fluent, half a month after another headache and attack, with weakness in the left limb plus