患者男,43岁。舌体发麻伴唾液增多,构音不清,思维迟钝1个月,2周前外院行CT平扫示双侧额叶片状低密度影(图1),提示多发性脑梗死。经治疗2周症状未见好转来我院就诊。患者发病前2个月曾注射狂犬疫苗并服用左旋咪唑(50mg/次,3次/天)2周。体检:患者表情淡漠,寡语,右侧鼻唇沟略浅,舌 Male patient, 43 years old. Tongue tingling with increased saliva, articulation is not clear, thinking slow for 1 month, 2 weeks ago outside the hospital CT plain showed bilateral frontal lobular low density (Figure 1), suggesting multiple cerebral infarction. After 2 weeks of treatment symptoms have not improved to our hospital. The rabies vaccine was injected 2 months prior to onset and levamisole (50 mg / time, 3 times daily) for 2 weeks. Physical examination: patient expression indifference, widowhood, nasal labialis slightly shallow tongue, tongue