蛛网膜下腔出血以精神障碍为首发症状者,临床少见。本文摘要报告3例如下:例1,男,38岁。因插秧时不明原因地自言自语、喋喋不休,所插秧苗数量不等,行距不准。经人扶回家后,不知洗脚和更衣,同时哭闹不止。送医院检查脑膜刺激征阳性,脑脊液血性,确诊 Subarachnoid hemorrhage with mental disorders as the first symptom, clinical rare. This summary of the report 3 as follows: Example 1, male, 38 years old. Due to unknown reasons when transplanting themselves, chatter, the number of seedlings inserted, spacing is not allowed. After being helped back home, I do not know washing feet and changing clothes, crying more than the same time. Send to the hospital to check positive meningeal irritation, cerebrospinal fluid bloody, diagnosed