患者女性,56岁,因突发头痛、呕吐,右侧肢体无力就诊。神经系统检查;神志恍惚,眼底视乳头水肿,双瞳孔正常,右侧鼻唇沟浅,口角左偏,伸舌偏右,右侧肢体肌力0级,克氏征(+),CT示左侧基底节区有1.5cm×2cm高密度影,未见中线结构移位。按内囊出血治疗3周,患者神志清,对答正确,偶有头痛无呕吐,右上肢肌力Ⅰ级,下肢肌力Ⅱ级,无病理征,腰穿脑脊液示:压力1.8kPa、红细胞0.05×10~(12)/L、蛋白2g/L,于治疗第四周无任何诱因,患者突感头痛、喷射性呕吐、右侧瞳孔3mm,左侧瞳孔2mm,对光反射尚存在,即按再出血治疗,未行CT检查。第三日我们为病人翻身时发现阴道少量流血,追问病史,患者已绝经5年,经妇科会诊,宫腔取标本送病理检查,报告有成团 Female patient, 56 years old, due to sudden headache, vomiting, right limb weakness treatment. Nervous system examination; delirium, fundus papilledema, double pupil normal, right nasolabial fold shallow, left angle mouth, right tongue extension, right limb muscle strength 0, Kirschner sign (+), CT showed left Side of the basal ganglia with 1.5cm × 2cm high-density shadow, no shift in the midline structure. According to the internal capsule hemorrhage for 3 weeks, patients with clear consciousness, right answers, occasional headache without vomiting, right upper limb muscle strength Ⅰ, lower limb muscle strength Ⅱ, no pathological signs, lumbar puncture cerebrospinal fluid showed: pressure 1.8kPa, red blood cells 0.05 × 10 ~ (12) / L, protein 2g / L, in the fourth week of treatment without any incentive, patients with sudden headache, jet vomiting, the right pupil 3mm, the left pupil 2mm, the light reflex still exists, Bleeding treatment, no CT examination. The third day we found a small amount of vaginal bleeding when the patient stood up and asked history, the patient has been menopausal 5 years, the gynecological consultation, uterine cavity taken specimens sent to pathological examination, reported a group