高血压壳核出血往往伴有意识,感觉和皮层功能障碍,表现纯运动偏瘫者少见。国外文献报道过5例。本文报道6例纯运动轻偏瘫的高血压壳核出血,对其发生机理、临床和CT的关系及与脑梗塞的鉴別问题进行了分析。临床资料例1男,55岁。突然左侧肢体治动不灵6小时。休息时突感左上下肢无力,继而行走困难、口角歪斜。无头痛、呕吐。高血压病史10余年。体征:血压26.7/16.0KPa。神志清,言语欠流利。颈无抵抗。左侧中枢 Hypertensive putamen bleeding are often associated with consciousness, sensory and cortical dysfunction, manifestations of pure motor hemiplegia are rare. Foreign literature reported in 5 cases. This paper reports six cases of pure motor hemiparesis hypertensive putamen bleeding, its mechanism of occurrence, the relationship between clinical and CT and the identification of cerebral infarction were analyzed. Clinical data example 1 male, 55 years old. Suddenly the left limb immobilization failed 6 hours. Suddenly feel the rest of the upper left and lower limbs weakness, then walking difficulties, skew. No headache, vomiting. Hypertension history of more than 10 years. Signs: blood pressure 26.7 / 16.0KPa. Consciousness, speech unfamiliar. Neck without resistance. Left center