1病历资料患者女,65岁,因“间断头痛5年,加重1年”于2012年7月入老年示范病房。患者5年前出现轻微头痛,无头晕,无语言和肢体活动障碍。当地医院头颅CT示“脑梗死”(未见报告),每日口服阿司匹林100 mg 4年,头痛无改善。1年前头痛加重,伴头晕、恶心、颈痛、轻度转头受限,约每个月发作1次,持续数小时,否认视物旋转、耳鸣。既往史:类风湿 A patient data, female, 65 years old, because of “intermittent headache for 5 years, increased 1 year ” in July 2012 into the elderly demonstration ward. The patient developed mild headache 5 years ago, no dizziness, no speech or physical activity disorder. Local hospital head CT showed “cerebral infarction ” (no report), daily oral aspirin 100 mg 4 years, no improvement in headache. A year ago headache aggravated, with dizziness, nausea, neck pain, mild turnaround is limited, attack about once a month for several hours, denial of sight rotation, tinnitus. Past history: rheumatoid