以缺血性中风表现发病的颅内占位性病变早期易于误诊。现将我科近2年临床初诊为缺血性脑卒中,后经 CT 确诊为颅内占位性病变的12例分析报道如下。临床资料一般资料:本组12例中男7例,女5例。年龄31～82岁,平均58岁。既往有高血压史4例,头痛史1例。起病形式:均以不同程度的偏瘫为首发症状,其中活动中突然起病2例,睡眠和安静状态下起病6例,呈短暂反复发作2例,缓慢起病逐渐加重2例。自起病至症状明显历时30分钟左右,最长2个月。症状和体征:意识不清1例,伴发头痛、恶心、呕吐2例,语言不清4例。面神经麻痹10例,其中伴舌下神经麻痹6例.本组除2例肢体瘫痪呈间断性发作外均有不同程度的偏瘫.其中上肢重于下 Early ischemic stroke manifestation of intracranial space-occupying lesions easily misdiagnosed. Now my family nearly 2 years of clinical initial diagnosis of ischemic stroke, after CT confirmed by intracranial space-occupying lesions in 12 cases reported as follows. Clinical data General information: The group of 12 patients in 7 males and 5 females. Age 31 ~ 82 years old, average 58 years old. Previous history of hypertension in 4 cases, history of headache in 1 case. Form of onset: all with varying degrees of hemiplegia as the first symptom, including sudden onset of activity in 2 cases, 6 cases of onset of sleep and quiet state, was a brief recurrent episode in 2 cases, gradual increase in slow onset in 2 cases. Since onset to symptoms significantly lasted about 30 minutes, up to 2 months. Symptoms and signs: 1 case of confusion, accompanied by headache, nausea, vomiting in 2 cases, 4 cases of unclear language. Facial nerve paralysis in 10 cases, of which 6 cases with hypoglossal nerve paralysis in this group in addition to 2 cases of paralysis were intermittent seizures have varying degrees of hemiplegia, of which the upper limb heavier than the next