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Neurology：貌似良性阵发性位置性眩晕的四脑室室管膜瘤

2018-08-29 zyx整理 神经科病例撷英拾粹

位置性眩晕室管膜瘤眼球震颤
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57岁女性，表现位置性眩晕4月，在床上朝左侧翻转时可诱发。3名医生按照良性阵发性位置性眩晕对患者进行治疗，但效果不理想。Dix-Hallpike手法往两侧均可见持续性上跳性眼球震颤，无潜伏期。

57岁女性，表现位置性眩晕4月，在床上朝左侧翻转时可诱发。3名医生按照良性阵发性位置性眩晕对患者进行治疗，但效果不理想。Dix-Hallpike手法往两侧均可见持续性上跳性眼球震颤，无潜伏期。仰卧翻滚试验提示朝左侧持续背地性眼球震颤和朝右侧持续上跳扭转性眼球震颤（视频）。神经系统查体，包括详细的小脑功能检查，并无异常。头颅MRI可见21×20×38mm的分叶状不均匀强化的第四脑室肿瘤（图1-2）。患者接受中线后颅窝开颅手术切除病灶。该标本的组织病理学检查证实为WHO II级室管膜瘤。在本例中，眩晕和位置性眼球震颤是中枢神经系统受累的唯一临床表现。


（图1：矢状位T1WI可见四脑室室管膜瘤）


（图2：横断面T2WI可见四脑室室管膜瘤）

原始出处：Power L1, Murray K2, Drummond KJ2, et al. Fourth ventricle ependymoma mimicking benign paroxysmal positional vertigo. Neurology. 2018 Aug 14;91(7):327-328. 

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    2018-12-23 cmj8wellington

    #良性阵发性位置性眩晕#

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1969167, encodeId=006f196916e87, content=<a href='/topic/show?id=ba12866e322' target=_blank style='color:#2F92EE;'>#良性阵发性位置性眩晕#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=86673, encryptionId=ba12866e322, topicName=良性阵发性位置性眩晕)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c689267, createdName=cmj8wellington, createdTime=Sun Dec 23 22:34:00 CST 2018, time=2018-12-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=359888, encodeId=813035988829, content=学习了，值得借鉴的临床经验与学习资料，获益匪浅，感谢分享！, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/02/27/c53a212859edcad4f60a54feffff50bb.jpg, createdBy=67cf1525321, createdName=13718711b3m, createdTime=Sun Feb 03 16:20:07 CST 2019, time=2019-02-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1803887, encodeId=bbda180388e64, content=<a href='/topic/show?id=9260e60733b' target=_blank style='color:#2F92EE;'>#管膜瘤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=76073, encryptionId=9260e60733b, topicName=管膜瘤)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=796422, createdName=lvliquan, createdTime=Wed Oct 10 00:34:00 CST 2018, time=2018-10-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1810938, encodeId=c1121810938c1, content=<a href='/topic/show?id=3b3a866e264' target=_blank style='color:#2F92EE;'>#良性阵发性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=86672, encryptionId=3b3a866e264, topicName=良性阵发性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=hb2008ye, createdTime=Wed Jul 03 12:34:00 CST 2019, time=2019-07-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2000562, encodeId=2a732000562c5, content=<a href='/topic/show?id=d5df12695e6' target=_blank style='color:#2F92EE;'>#Neurol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12695, encryptionId=d5df12695e6, topicName=Neurol)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8217292, createdName=yinhl1978, createdTime=Fri Feb 15 11:34:00 CST 2019, time=2019-02-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1559627, encodeId=bc32155962ead, content=<a href='/topic/show?id=7df14623982' target=_blank style='color:#2F92EE;'>#室管膜瘤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46239, encryptionId=7df14623982, topicName=室管膜瘤)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=300d15003669, createdName=huiwelcome, createdTime=Fri Aug 31 07:34:00 CST 2018, time=2018-08-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1565636, encodeId=b0d8156563656, content=<a href='/topic/show?id=7df14623982' target=_blank style='color:#2F92EE;'>#室管膜瘤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46239, encryptionId=7df14623982, topicName=室管膜瘤)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=300d15003669, createdName=huiwelcome, createdTime=Fri Aug 31 07:34:00 CST 2018, time=2018-08-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1630538, encodeId=383e1630538f6, content=<a href='/topic/show?id=80f484805a4' target=_blank style='color:#2F92EE;'>#脑室#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=84805, encryptionId=80f484805a4, topicName=脑室)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3eab21540873, createdName=tastas, createdTime=Fri Aug 31 07:34:00 CST 2018, time=2018-08-31, status=1, ipAttribution=)]
    2019-02-03 13718711b3m

    学习了，值得借鉴的临床经验与学习资料，获益匪浅，感谢分享！

    0

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    2018-10-10 lvliquan

    #管膜瘤#

    0

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    2019-07-03 hb2008ye

    #良性阵发性#

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1969167, encodeId=006f196916e87, content=<a href='/topic/show?id=ba12866e322' target=_blank style='color:#2F92EE;'>#良性阵发性位置性眩晕#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=86673, encryptionId=ba12866e322, topicName=良性阵发性位置性眩晕)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c689267, createdName=cmj8wellington, createdTime=Sun Dec 23 22:34:00 CST 2018, time=2018-12-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=359888, encodeId=813035988829, content=学习了，值得借鉴的临床经验与学习资料，获益匪浅，感谢分享！, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/02/27/c53a212859edcad4f60a54feffff50bb.jpg, createdBy=67cf1525321, createdName=13718711b3m, createdTime=Sun Feb 03 16:20:07 CST 2019, time=2019-02-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1803887, encodeId=bbda180388e64, content=<a href='/topic/show?id=9260e60733b' target=_blank style='color:#2F92EE;'>#管膜瘤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=76073, encryptionId=9260e60733b, topicName=管膜瘤)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=796422, createdName=lvliquan, createdTime=Wed Oct 10 00:34:00 CST 2018, time=2018-10-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1810938, encodeId=c1121810938c1, content=<a href='/topic/show?id=3b3a866e264' target=_blank style='color:#2F92EE;'>#良性阵发性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=86672, encryptionId=3b3a866e264, topicName=良性阵发性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=hb2008ye, createdTime=Wed Jul 03 12:34:00 CST 2019, time=2019-07-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2000562, encodeId=2a732000562c5, content=<a href='/topic/show?id=d5df12695e6' target=_blank style='color:#2F92EE;'>#Neurol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12695, encryptionId=d5df12695e6, topicName=Neurol)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8217292, createdName=yinhl1978, createdTime=Fri Feb 15 11:34:00 CST 2019, time=2019-02-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1559627, encodeId=bc32155962ead, content=<a href='/topic/show?id=7df14623982' target=_blank style='color:#2F92EE;'>#室管膜瘤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46239, encryptionId=7df14623982, topicName=室管膜瘤)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=300d15003669, createdName=huiwelcome, createdTime=Fri Aug 31 07:34:00 CST 2018, time=2018-08-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1565636, encodeId=b0d8156563656, content=<a href='/topic/show?id=7df14623982' target=_blank style='color:#2F92EE;'>#室管膜瘤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46239, encryptionId=7df14623982, topicName=室管膜瘤)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=300d15003669, createdName=huiwelcome, createdTime=Fri Aug 31 07:34:00 CST 2018, time=2018-08-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1630538, encodeId=383e1630538f6, content=<a href='/topic/show?id=80f484805a4' target=_blank style='color:#2F92EE;'>#脑室#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=84805, encryptionId=80f484805a4, topicName=脑室)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3eab21540873, createdName=tastas, createdTime=Fri Aug 31 07:34:00 CST 2018, time=2018-08-31, status=1, ipAttribution=)]
    2019-02-15 yinhl1978

    #Neurol#

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1969167, encodeId=006f196916e87, content=<a href='/topic/show?id=ba12866e322' target=_blank style='color:#2F92EE;'>#良性阵发性位置性眩晕#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=86673, encryptionId=ba12866e322, topicName=良性阵发性位置性眩晕)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c689267, createdName=cmj8wellington, createdTime=Sun Dec 23 22:34:00 CST 2018, time=2018-12-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=359888, encodeId=813035988829, content=学习了，值得借鉴的临床经验与学习资料，获益匪浅，感谢分享！, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/02/27/c53a212859edcad4f60a54feffff50bb.jpg, createdBy=67cf1525321, createdName=13718711b3m, createdTime=Sun Feb 03 16:20:07 CST 2019, time=2019-02-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1803887, encodeId=bbda180388e64, content=<a href='/topic/show?id=9260e60733b' target=_blank style='color:#2F92EE;'>#管膜瘤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=76073, encryptionId=9260e60733b, topicName=管膜瘤)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=796422, createdName=lvliquan, createdTime=Wed Oct 10 00:34:00 CST 2018, time=2018-10-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1810938, encodeId=c1121810938c1, content=<a href='/topic/show?id=3b3a866e264' target=_blank style='color:#2F92EE;'>#良性阵发性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=86672, encryptionId=3b3a866e264, topicName=良性阵发性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=hb2008ye, createdTime=Wed Jul 03 12:34:00 CST 2019, time=2019-07-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2000562, encodeId=2a732000562c5, content=<a href='/topic/show?id=d5df12695e6' target=_blank style='color:#2F92EE;'>#Neurol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12695, encryptionId=d5df12695e6, topicName=Neurol)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8217292, createdName=yinhl1978, createdTime=Fri Feb 15 11:34:00 CST 2019, time=2019-02-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1559627, encodeId=bc32155962ead, content=<a href='/topic/show?id=7df14623982' target=_blank style='color:#2F92EE;'>#室管膜瘤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46239, encryptionId=7df14623982, topicName=室管膜瘤)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=300d15003669, createdName=huiwelcome, createdTime=Fri Aug 31 07:34:00 CST 2018, time=2018-08-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1565636, encodeId=b0d8156563656, content=<a href='/topic/show?id=7df14623982' target=_blank style='color:#2F92EE;'>#室管膜瘤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46239, encryptionId=7df14623982, topicName=室管膜瘤)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=300d15003669, createdName=huiwelcome, createdTime=Fri Aug 31 07:34:00 CST 2018, time=2018-08-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1630538, encodeId=383e1630538f6, content=<a href='/topic/show?id=80f484805a4' target=_blank style='color:#2F92EE;'>#脑室#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=84805, encryptionId=80f484805a4, topicName=脑室)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3eab21540873, createdName=tastas, createdTime=Fri Aug 31 07:34:00 CST 2018, time=2018-08-31, status=1, ipAttribution=)]
    2018-08-31 huiwelcome

    #室管膜瘤#

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=1969167, encodeId=006f196916e87, content=<a href='/topic/show?id=ba12866e322' target=_blank style='color:#2F92EE;'>#良性阵发性位置性眩晕#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=86673, encryptionId=ba12866e322, topicName=良性阵发性位置性眩晕)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c689267, createdName=cmj8wellington, createdTime=Sun Dec 23 22:34:00 CST 2018, time=2018-12-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=359888, encodeId=813035988829, content=学习了，值得借鉴的临床经验与学习资料，获益匪浅，感谢分享！, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/02/27/c53a212859edcad4f60a54feffff50bb.jpg, createdBy=67cf1525321, createdName=13718711b3m, createdTime=Sun Feb 03 16:20:07 CST 2019, time=2019-02-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1803887, encodeId=bbda180388e64, content=<a href='/topic/show?id=9260e60733b' target=_blank style='color:#2F92EE;'>#管膜瘤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=76073, encryptionId=9260e60733b, topicName=管膜瘤)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=796422, createdName=lvliquan, createdTime=Wed Oct 10 00:34:00 CST 2018, time=2018-10-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1810938, encodeId=c1121810938c1, content=<a href='/topic/show?id=3b3a866e264' target=_blank style='color:#2F92EE;'>#良性阵发性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=86672, encryptionId=3b3a866e264, topicName=良性阵发性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=hb2008ye, createdTime=Wed Jul 03 12:34:00 CST 2019, time=2019-07-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2000562, encodeId=2a732000562c5, content=<a href='/topic/show?id=d5df12695e6' target=_blank style='color:#2F92EE;'>#Neurol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12695, encryptionId=d5df12695e6, topicName=Neurol)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8217292, createdName=yinhl1978, createdTime=Fri Feb 15 11:34:00 CST 2019, time=2019-02-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1559627, encodeId=bc32155962ead, content=<a href='/topic/show?id=7df14623982' target=_blank style='color:#2F92EE;'>#室管膜瘤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46239, encryptionId=7df14623982, topicName=室管膜瘤)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=300d15003669, createdName=huiwelcome, createdTime=Fri Aug 31 07:34:00 CST 2018, time=2018-08-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1565636, encodeId=b0d8156563656, content=<a href='/topic/show?id=7df14623982' target=_blank style='color:#2F92EE;'>#室管膜瘤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46239, encryptionId=7df14623982, topicName=室管膜瘤)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=300d15003669, createdName=huiwelcome, createdTime=Fri Aug 31 07:34:00 CST 2018, time=2018-08-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1630538, encodeId=383e1630538f6, content=<a href='/topic/show?id=80f484805a4' target=_blank style='color:#2F92EE;'>#脑室#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=84805, encryptionId=80f484805a4, topicName=脑室)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3eab21540873, createdName=tastas, createdTime=Fri Aug 31 07:34:00 CST 2018, time=2018-08-31, status=1, ipAttribution=)]
    2018-08-31 huiwelcome

    #室管膜瘤#

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=1969167, encodeId=006f196916e87, content=<a href='/topic/show?id=ba12866e322' target=_blank style='color:#2F92EE;'>#良性阵发性位置性眩晕#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=86673, encryptionId=ba12866e322, topicName=良性阵发性位置性眩晕)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c689267, createdName=cmj8wellington, createdTime=Sun Dec 23 22:34:00 CST 2018, time=2018-12-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=359888, encodeId=813035988829, content=学习了，值得借鉴的临床经验与学习资料，获益匪浅，感谢分享！, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/02/27/c53a212859edcad4f60a54feffff50bb.jpg, createdBy=67cf1525321, createdName=13718711b3m, createdTime=Sun Feb 03 16:20:07 CST 2019, time=2019-02-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1803887, encodeId=bbda180388e64, content=<a href='/topic/show?id=9260e60733b' target=_blank style='color:#2F92EE;'>#管膜瘤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=76073, encryptionId=9260e60733b, topicName=管膜瘤)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=796422, createdName=lvliquan, createdTime=Wed Oct 10 00:34:00 CST 2018, time=2018-10-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1810938, encodeId=c1121810938c1, content=<a href='/topic/show?id=3b3a866e264' target=_blank style='color:#2F92EE;'>#良性阵发性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=86672, encryptionId=3b3a866e264, topicName=良性阵发性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=hb2008ye, createdTime=Wed Jul 03 12:34:00 CST 2019, time=2019-07-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2000562, encodeId=2a732000562c5, content=<a href='/topic/show?id=d5df12695e6' target=_blank style='color:#2F92EE;'>#Neurol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12695, encryptionId=d5df12695e6, topicName=Neurol)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8217292, createdName=yinhl1978, createdTime=Fri Feb 15 11:34:00 CST 2019, time=2019-02-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1559627, encodeId=bc32155962ead, content=<a href='/topic/show?id=7df14623982' target=_blank style='color:#2F92EE;'>#室管膜瘤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46239, encryptionId=7df14623982, topicName=室管膜瘤)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=300d15003669, createdName=huiwelcome, createdTime=Fri Aug 31 07:34:00 CST 2018, time=2018-08-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1565636, encodeId=b0d8156563656, content=<a href='/topic/show?id=7df14623982' target=_blank style='color:#2F92EE;'>#室管膜瘤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46239, encryptionId=7df14623982, topicName=室管膜瘤)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=300d15003669, createdName=huiwelcome, createdTime=Fri Aug 31 07:34:00 CST 2018, time=2018-08-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1630538, encodeId=383e1630538f6, content=<a href='/topic/show?id=80f484805a4' target=_blank style='color:#2F92EE;'>#脑室#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=84805, encryptionId=80f484805a4, topicName=脑室)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3eab21540873, createdName=tastas, createdTime=Fri Aug 31 07:34:00 CST 2018, time=2018-08-31, status=1, ipAttribution=)]
    2018-08-31 tastas

    #脑室#

    0