Patient Wang, male, 55 years old. He was admitted to the hospital on November 3, 2010 with “hypertensive cerebral hemorrhage”, mainly due to sudden onset of headache and left-sided limb immobility for 9 hours. On November 3, 2010, after waking up at 07:00 a.m., the patient suddenly felt headache and left-sided limb immobility with nausea without vomiting without any obvious cause. 1 hour later, he was sent by his family to Renhe Hospital in Daxing District, Beijing, and the cranial CT showed cerebral hemorrhage in the right basal ganglia area. He was transferred to our hospital at 16:00 this afternoon and was admitted with hypertensive cerebral hemorrhage. Past history of hypertension for more than 10 years, irregular self-administration of antihypertensive drugs for treatment. On admission: P91 times/min, BP 178/111 mmHg, slightly poor general condition, drowsy, responsive to call, and basically tangential to answer. Bilateral pupils were equal in size and round, 3.0mm in diameter, light reflex was sensitive, bilateral frontal lines were symmetrical, right nasolabial fold was slightly shallow, tongue extension was in the center, uvula was in the center, bilateral pharyngeal reflex existed. Shoulder shrugging was strong, neck was soft without resistance, muscle strength and tone of the right limb was normal, muscle strength of the left limb was grade 2, muscle tone was slightly high, tendon reflex of the left lower limb was hyperactive. The left Bartholomew’s sign was positive, and the pathological sign of the right limb (-). Auxiliary examination: cranial CT (November 3, 2010, Renhe Hospital, Daxing District, Beijing, examination number: 37028) plain scan showed cerebral hemorrhage in the right lateral basal ganglia area, the volume was about 26 ml, and the midline structures were slightly displaced. Admission diagnosis: 1, hypertensive cerebral hemorrhage (shell nucleus, right side). 2, hypertension grade 3. After admission, relevant laboratory tests and examinations were completed, and a trans-lateral fissure approach for intracerebral hematoma removal was performed under general anesthesia on an emergency basis, and the total amount of hematoma removed was about 30 ml. The hematoma was cleared on postoperative review CT and was treated with anti-infection, blood pressure control, dehydration to lower cranial pressure, and symptomatic support. The patient’s symptoms improved after the operation, no headache and vomiting, and the muscle strength of both left lower limbs improved compared with that before the operation. The patient was discharged from the hospital on November 6, 2010. At the time of discharge, the patient was in good spirits and could eat a semi-liquid diet. Physical examination: clear consciousness, fluent speech, stable vital signs, good healing of head wound. The muscle strength of the left upper and lower limbs was grade 4, and the muscle strength of the right limb was grade 5. The blood sodium was about 130 mmol/L. Consideration could be given to continue sodium supplementation until the blood sodium returned to normal after discharge. The above is a typical case of hypertensive cerebral hemorrhage. Sanbo Brain Hospital of Capital Medical University has a strong treatment team for cerebrovascular disease, led by Zhang Yongli, a famous neurosurgeon and authoritative expert in the diagnosis and treatment of cerebrovascular disease, who has accumulated more than 1,000 cases of treatment experience. He leads the multidisciplinary doctors related to cerebrovascular disease to carry out individualized and comprehensive treatment of cerebrovascular disease, and carries out neurointerventional radiology work, using cerebral angiography technology to improve the diagnosis and treatment effect. He has rich clinical experience in the surgical treatment of various complex and difficult intracranial tumors, aneurysms, ischemic cerebrovascular disease, embolization of complex giant arteriovenous malformations, carotid endarterectomy, carotid stenosis and other diseases.