患者男,33岁。近10年无诱因感偏头痛,以左侧为著,对症治疗后能缓解,但症状仍间断发作,无头晕、抽搐等。1周前无诱因出现抽搐,持续约3 min,醒后不能回忆发作经过,于昨日再次感头痛遂来我院要求住院治疗。自患病以来,食欲、睡眠正常,大、小便正常,体重无减轻。体格检查未见异常。MRI检查:右侧额顶枕叶、左侧顶叶、左侧颞叶可见多发结节状混杂长T1、短T2信号,部分病灶呈靶征,中心呈短T1、长T2信号,周围呈长T1、短T2信号,病灶周围可见片状 Male patient, 33 years old. Nearly 10 years without inducement of migraine headache, to the left, symptomatic treatment can ease, but the symptoms are still intermittent seizures, no dizziness, convulsions and so on. 1 week ago, there was no incentive to convulsions, lasted about 3 min, wake up after the recall can not recall the attack, and then felt a sense of headache again yesterday to our hospital for hospitalization. Since the onset of illness, appetite, normal sleep, large, normal urination, weight loss. Physical examination no abnormalities. MRI examination: the right frontal top occipital lobe, left parietal lobe, left temporal lobe multiple nodules were seen mixed long T1, short T2 signal, some lesions showed a target, the center was short T1, long T2 signal was around the long T1, short T2 signal, visible lesions around the flaky