头痛是急性脑血管病的重要临床表现之一，而以头痛为唯一症状，无偏瘫、失语等定位体征的脑梗死却很少见，常被误诊。ＣＴ和ＭＲＩ的普及及人们对健康要求的提高使此类易被误诊的病例得以正确诊断和治疗。作者将近几年收集的２１例以头痛为唯一症状的脑梗死误诊情况总结分析如 Headache is one of the important clinical manifestations of acute cerebrovascular disease. However, cerebral infarction characterized by headache as the only symptom, hemiplegia, aphasia and other signs is rare and often misdiagnosed. The popularization of CT and MRI as well as the improvement of people’s health requirements make such patients easily misdiagnosed to be correctly diagnosed and treated. In recent years, the author collected 21 cases of headache as the only symptom of cerebral infarction misdiagnosis summary analysis