无特殊病史被询问。神经系统查体：神清，右上肢远端肌力3级，近端肌力4级

No special medical history was asked. <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>clear, large round pupils with a diameter of about 0.25cm, sensitive light reflection, no nystagmus, bilateral nasolabial folds are basically symmetrical, tongue is still in the middle, neck is soft, limb muscles are normal , Bilateral tendon reflexes are symmetrical, and 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.

No special medical history was asked.<br>Nervous system check: Shenqing, right upper limb far end muscle force 3 level, 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.

No special history was asked.<br>Physical examination of nervous system: Shenqing, the muscle strength of the distal end of the right upper limb was grade 3, the muscle strength of the proximal end was grade 4, the right hand finger to palm could not be completed, the muscle strength of the right lower limb was grade 5, the muscle strength of the left limb was grade 5, the double tendon reflex was hyperactivity, and the pathological sign of the right side was ().<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.<br>