1病例患者,男,62岁,无明显诱因出现右下肢力弱,尚可行走,上肢力量无变化,伴言语笨拙。院外查头颅CT腔隙性脑梗死,予疏血通、依达拉奉治疗。病情进行性加重,出现上肢持物不能,行走困难。随后出现上肢无肌肉收缩,下肢不能抬离床面,言语不清,表现为语速慢,吐字不清。病程中伴饮水呛咳,无头痛、恶心、呕吐及意识障碍等高颅压表现,无黑朦及跌倒发作。于2015年03月28日主因左肢无 A case of patients, male, 62 years old, no obvious incentive to appear right lower limb weakness, still walking, no change in upper limb strength, with utterance clumsy. Out-hospital examination head CT lacunar infarction, to Shuxuetong, edaravone treatment. Progressive aggravate the condition, the upper limbs can not hold, walking difficulties. Followed by no muscle contraction of the upper limbs, lower extremities can not lift off the bed, speech is not clear, the performance of slow words, articulation unclear. Duration of cough with drinking water, no headache, nausea, vomiting and disturbance of consciousness such as high intracranial pressure performance, no darkness and fall attacks. On March 28, 2015 the main left limb no