双侧内囊梗塞,由于梗塞范围及侧枝循环代偿的情况不同,临床症状和体征较为复杂,诊断有一定困难。作者遇到二例经CT证实报告如下: 例1:男63岁,84年1月6日以“右肢体失灵,不能行走半月”为主诉入院。该患于83年12月22日上午走路时,自感右侧肢体无力,行走困难,口角右偏。无头痛呕吐。翌日晨起不能行走,右上肢不能活动,右下肢可以活动。无二便障碍。体 Bilateral internal infarction, due to the scope of infarction and collateral circulation compensation for different situations, clinical symptoms and signs are more complicated, the diagnosis has some difficulties. The author met two cases confirmed by the CT as follows: Example 1: Male 63 years old, January 6, 84 to “right limb failure, can not walk for half a month” as the main complaint. The suffering from the morning of December 22, 83 walk, the right self-feeling limb weakness, walking difficulties, right-sided mouth. No headache and vomiting. The morning of the following day can not walk, the right upper limb can not move, the right lower limb can move. No second-hand obstacles. body