病例报告例1 患者男,27岁。入院前1小时突发头痛,呕吐伴说话不灵,右上肢不好使。查体:浅昏迷状态,左面神经中枢性瘫,不完全性运动性失语,左上肢轻瘫。CT示幕上脑室内出血。局麻下双侧脑室额角穿刺抽血约40ml,然后行右侧室持续引流48小时,引流量约400ml左右。术后24小时患者意识清楚,48小时后CT复查示脑室內血肿消失。7天后左上肢肌力4级,仍存在不全性运动失语。出血来源为MoyaMoya病。 Case report 1 patient male, 27 years old. Sudden headache 1 hour before admission, vomiting with poor speech, right upper extremity is not good. Physical examination: shallow coma state, left central nervous paralysis, incomplete motor aphasia, left upper limb paresis. CT screen intraventricular hemorrhage. Under local anesthesia, bilateral cerebral venous forehead puncture blood drawn about 40ml, and then line the right side of the room for 48 hours of continuous drainage, drainage about 400ml. 24 hours after the patient awareness, 48 ​​hours after CT showed intraventricular hematoma disappeared. Left upper limb muscle strength 4 days after 7 days, there is still incomplete motor aphasia. The source of bleeding is Moya Mamu disease.