目的　了解无症状脑梗塞与精神障碍的关系。方法　对 30例症状脑梗塞伴发精神障碍患者进行回顾性研究 ,分析其临床表现、梗塞部位 ,以及对既往史的调查分析。结果　无症状脑梗塞伴发的精神障碍可表现类似精神分裂症、情感性障碍及各种神经症 ,既往史中高血压所占比例较大。结论　无症状脑梗塞可以各种精神障碍为首发症状 Objective To understand the relationship between asymptomatic cerebral infarction and mental disorders. Methods Thirty patients with cerebral infarction complicated with mental disorders were retrospectively analyzed, and their clinical manifestations, infarction sites and their previous history were analyzed. Results Asymptomatic cerebral infarction associated with mental disorders can show similar to schizophrenia, affective disorders and various neurosis in the history of hypertension in a larger proportion. Conclusion Asymptomatic cerebral infarction can be a variety of mental disorders as the first symptom