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患者,男性,37岁,右利手。住院号:128307。突然出现右侧肢体麻木、无力,左侧头痛伴有呕吐一天入院。病程中无抽搐,二便正常。既往:两年前患蛛网膜下腔出血治愈。否认高血压、糖尿病史。查体:BP13.3/9.3kPa。神清语利。无眼震,眼底正常,右侧鼻唇沟浅,伸舌偏向右侧,右侧上下肢肌力4～5级,肌张力正常,腱反射活跃。右侧偏身深浅感觉减退。右侧病理征(+),脑膜刺激征(+)。右手指鼻试验不准,快速轮替动作笨拙,右侧跟膝胫试验不准不稳。CT所见:左侧丘脑有一高密度(2×2×2.8cm)破入脑窒。
Patient, male, 37 years old, right hand. Hospital number: 128307. A sudden numbness of the right limb, weakness, left headache with vomiting one day admission. No convulsions in the course of the second normal two. Past: Two years ago with subarachnoid hemorrhage cured. Denied high blood pressure, diabetes history. Physical examination: BP13.3 / 9.3kPa. God Qing language profits. No nystagmus, normal ocular fundus, right nasolabial fold shallow, extensor tend to the right, upper right and left limb muscle strength 4 to 5, normal muscle tone, active tendon reflex. Right side of the body shades feel diminished. Right pathological signs (+), meningeal irritation (+). Right finger nasal test is not allowed, clumsy rapid rotation, right knee with knee joint test is not allowed to instability. CT findings: The left thalamus has a high density (2 × 2 × 2.8cm) broken into cerebral apoplexy.