自１９９７年以来，我们曾遇３例额叶、颞叶血管病患者，因症状体征不典型而误诊。现摘其中１例报告如下。 患者男，６７岁，因言语、动作增多２天入院。２天前，患者起床后言语明显增多，有时动作杂乱无目的性，常无故发笑，见人后表现过分愉快，并夸夸其谈。病史中无精神病家 Since 1997, we have encountered 3 cases of frontal lobe, temporal lobe vascular disease, due to symptoms and signs of atypical misdiagnosis. Now pick one of the cases reported as follows. Male patient, 67 years old, due to speech, movement increased 2 days admitted. Two days ago, the patient’s speech significantly increased after getting up, and sometimes disorderly movement without purpose, often without cause, after seeing people over-pleasing, and rhetoric. No mental illness in the family history