If the patient feels that he or she is having a stroke and cannot control his or her tongue, he or she should be asked if there is dizziness or headache, hemiparesis of one limb, numbness of one limb, choking and coughing when drinking, or salivation at the corners of the mouth. Then, we should ask the patient to open the mouth and extend the tongue to observe whether there is facial and tongue palsy, check whether there is any decrease in muscle strength, and do a cranial CT or MRI to find out whether it is cerebral infarction or cerebral hemorrhage. If it is cerebral infarction, treatment is based on anti-platelet aggregation and plaque stabilization drugs; if it is cerebral hemorrhage, the treatment plan should be selected according to the size of the bleeding volume, generally small amount of cerebral hemorrhage is based on drug treatment, if it is medium to large amount of cerebral hemorrhage, the family agrees that surgery can be performed, and there are two ways of surgery: minimally invasive and surgical craniotomy.