案情简介董某,男,26岁,1988年1月17日与张某发生欧斗,被张某抓住头发将头向墙上撞。当时无异常。2月14日夜间睡眠时突感头痛而醒,并伴有失语及右侧肢体麻木、乏力。后到医院就诊以诊断“脑脉管炎”住院治疗。入院时查体 P70次/分、R20次/分、BP120/70mmHg;神智清楚、运动性失语、双侧瞳孔园形等大 Case profile Dongmou, male, 26 years old, January 17, 1988 and Zhang occurred European fighting, Zhang grabbed the hair will head to the wall hit. No abnormality at that time. February 14 sudden headache and wake up during sleep at night, accompanied by aphasia and numbness of the right limb, fatigue. After the hospital to diagnose “cerebral vasculitis” hospitalization. Physical examination at admission P70 beats / min, R20 beats / min, BP120 / 70mmHg; clear mind, exercise aphasia, bilateral pupil circular shaped large