左手指鼻试验欠稳准，双下肢跟膝胫试验阳性。影像学检查：CTA:左侧颈内

The nose test of the left finger was not stable and the test of both lower limbs and knee shin was positive. <br>Imaging examination: CTA: The end lumen of the petrosal segment of the left internal carotid artery is widened, scaphoid swelling toward the medial side, and double lumens can be seen, suggesting the formation of localized dissection and aneurysm. <br>Preoperative diagnosis: 1. Dissecting aneurysm of the left internal carotid artery 2. Cerebral hemorrhage recovery period 3. High-risk grade 2 hypertension. <br>Cerebral angiography under general anesthesia, stent placement of the left internal carotid artery dissecting aneurysm. <br>After the operation, low molecular weight heparin was injected subcutaneously with 3D. The <br>main complaint: memory loss with weakness of the right upper limb for 3 months. <br>Medical history: Family members complained that there was no obvious cause before 3 months, and there was sudden instability of holding objects, but no response. At that time, there was no painful face, limb twitching, incontinence and other symptoms. Head CT showed "cerebral infarction", and thrombolytic therapy was given. recovery treatment. <br>Past history: unknown; I did not ask about special medical history. <br>Nervous system examination: Shenqing, right upper limb distal muscle strength level 3, proximal muscle strength level 4, right finger to palm can not be completed, right lower limb muscle strength level 5, left limb muscle strength level 5, double Tendon hyperreflexia, pathological signs on the right side (+). <br>Imaging examination: CTA: A double-lumen shadow was seen in the proximal left internal carotid artery, and a low-density intimal membrane was seen in it, suggesting a localized arterial dissecting aneurysm with an extent of about 1.67 cm. <br>DSA: The dissection of the initial segment of the left internal carotid artery has changed with irregular shape. <br>Preoperative diagnosis: 1. Dissecting aneurysm of the left internal carotid artery; 2. Recovery period of cerebral infarction. <br>Cerebral angiography under general anesthesia, dissection and isolation of the left internal carotid artery stent. <br>Main complaint: Repeated dizziness with visual rotation for 20 years, and then with limb shaking for 1 day. <br>Medical history: The patient reported recurrent dizziness with visual rotation 20 years before admission. <br>One day before admission, dizziness, rotation of vision, vomiting, accompanied by limb shaking occurred again during sleep one day before admission, mainly manifested as mouth-mandibular and upper limb shaking, which continued to improve for several minutes and repeated attacks. <br>Past history: No specific medical history was asked. <br>Nervous system examination:<br>Shenqing, large round pupils with a diameter of about 0.25cm, sensitive light reflection, no nystagmus, bilateral nasolabial folds are basically symmetrical, tongue extension is still in the middle, neck is soft, extremities muscle strength is normal, bilateral tendon reflexes Symmetrical, bilateral pathological signs are negative. <br>Imaging examination: DSA: 1. Main aneurysm of the left internal carotid artery, about 13*10mm in size. <br>Preoperative diagnosis: 1. Left internal carotid artery aneurysm.

The left finger nose test was not accurate, and the test of both lower limbs and knee shins was positive.<br>Imaging examination: CTA: left neck artery section end tube cavity widening, to the inner boat-like bulge, visible double cavity, indicating the limitation of the mezzanine and aneurysm formation.<br>Preoperative diagnosis: 1. Left cervical artery mezzanine aneurysm 2. Brain haemorrhage recovery period 3. Hypertension level 2 extremely high risk.<br>Full hemp downstream cerebrovascular angiography, left neck artery mezzanine aneurysm stent placement.<br>After surgery, low-molecular heparin subcutaneous injection 3D.<br>Main complaint: Memory loss accompanied by weakness in the upper right leg in March.<br>Medical history: family complaints before March no obvious trigger suddenly appear edicombe, call no response, when no pain face, limb convulsions, size incontinence and other symptoms, skull CT show "brain infarction", to thrombosis and other treatment, post-rehabilitation treatment.<br>Past history: unknown; Yu did not ask about a special medical history.<br>Nervous system check: Shenqing, right upper limb far end muscle force level 3, near end muscle force 4 level, right finger 対 finger-to-palm can not be completed, right lower limb muscle force 5-level, left limb muscle force 5 level, double tendon reflex, right pathological signs ( . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br>Imaging examination: CTA: the left cervical artery near the double cavity shadow, which can be seen in the low-density endothelial diaphragm, suggesting the limitation of arterial mezzanine aneurysm, the range is about 1.67cm.<br>DSA: The artery mezzanine of the artery starting section of the left cervical is changed and the morphology is irregular.<br>Preoperative diagnosis: 1. left cervical artery mezzanine aneurysm; 2. recovery period of cerebral infarction.<br>Full hemp downstream cerebrovascular angiography, left cervical artery stent placed in the mezzanine isolation.<br>Main complaint: repeated dizziness with the visual rotation for 20 years, and then accompanied by limb shake for 1 day.<br>History: Patients describe their own recurrent dizziness and rotating in the 20 years prior to admission.<br>1 day before admission in the sleep process again appear dizziness, visual rotation, vomiting, with limb shaking, mainly manifested as mouth-jaw, double upper limb jitter, lasting several minutes of improvement, repeated seizures.<br>Past history: No special medical history was asked.<br>Nervous system check:<br>Shenqing, double-shaped and other large circle, diameter of about 0.25cm, light reflection sensitive, no eye shock, two-sided nasal lip ditch basic symmetry, tongue extension is still center, neck soft, limb muscle force muscle tone normal, double-sided tendon reflection symmetry, two-sided pathological negative.<br>Imaging examination: DSA:1, left cervical artery artery aneurysm, size of about 13 x 10mm.<br>Preoperative diagnosis: 1. Left cervical aneurysm.

The finger nose test of the left hand was not stable and accurate, and the heel knee tibia test of both lower limbs was positive.<br>Imaging examination: CTA: the lumen of the left internal carotid artery at the end of the petrous segment was widened and expanded to the medial scaphoid shape with double lumen, indicating localized dissection and aneurysm formation.<br>Preoperative diagnosis: 1. Left internal carotid artery dissecting aneurysm; 2. Recovery period of cerebral hemorrhage; 3. High risk of grade 2 hypertension.<br>Under general anesthesia, cerebral angiography and stenting were performed on left internal carotid artery dissection aneurysm.<br>After operation, low molecular weight heparin was injected subcutaneously in 3D<br>Chief complaint: memory loss with right upper limb weakness for 3 months.<br>Medical history: family members complained that there was no obvious inducement 3 months ago, and there was no sudden instability of holding objects and no response to breathing. At that time, there was no pain and bitter face, limbs convulsion, incontinence and other symptoms. The head CT showed "cerebral infarction". Thrombolytic therapy was given and later rehabilitation treatment was given.<br>Previous history: unknown; I did not ask about special medical history.<br>Physical examination of nervous system: Shenqing, right upper limb distal muscle strength 3, proximal muscle strength 4, right hand finger to palm can not be completed, right lower limb muscle strength 5-grade, left limb muscle strength 5-grade, double tendon reflex hyperactivity, right side pathological sign (+).<br>Imaging examination: CTA: double lumen shadow was seen in the proximal segment of the left internal carotid artery, and low-density intimal film was seen in it, indicating a localized dissecting aneurysm with a length of about 1.67cm.<br>DSA: the dissection of the left internal carotid artery was irregular.<br>Preoperative diagnosis: 1. Left internal carotid artery dissecting aneurysm; 2. Convalescence of cerebral infarction.<br>Cerebral angiography was performed under general anesthesia, and left internal carotid artery stenting was performed.<br>Chief complaint: repeated dizziness with visual rotation for 20 years and limb shaking for 1 day.<br>History: the patient reported recurrent dizziness with visual rotation 20 years before admission.<br>One day before admission, dizziness, visual rotation, vomiting, and limb shaking occurred again during sleep. The main manifestations were mouth jaw and upper limb shaking, which lasted for several minutes for improvement and repeated attacks.<br>Past history: no special history was asked.<br>Physical examination of nervous system:<br>Shenqing, double pupil and other large round shape, about 0.25cm in diameter, sensitive light reflex, no nystagmus, bilateral nasolabial groove is basically symmetrical, tongue extension is in the middle, neck is soft, muscle tension of limbs is normal, bilateral tendon reflex is symmetrical, bilateral pathological signs are negative.<br>Imaging examination: DSA:1 The size of the aneurysm was about 13 * 10 mm.<br>Preoperative diagnosis: 1. Left internal carotid artery aneurysm.