Many people have seen the hornet's nest. It is difficult to destroy the hornet's nest. If you are accidentally attacked by a swarm of bees, it will even endanger your life. You know what? Some people also have 'wasp nests' in their brains, which can be life-threatening in serious cases. Recently, experts from Zhejiang Provincial People's Hospital and trusteeship hospital successfully removed a patient's intracranial 'wasp nest'.
I think heatstroke is caused by the 'wasp nest' in my brain
'My mother is not feeling well. Is it heatstroke? ' Recently, aunt Gao, in her 60s, accompanied by her family, went to Tongxiang first people's hospital. The family said that the mother began to have a headache and dizziness. Now it is still a hot day. She thought it was heatstroke, but later she walked unsteadily and nausea and vomiting. She thought it would be better to come to the hospital for examination and treatment. Severe heatstroke would also be dangerous.
Sudden headache, dizziness and unstable walking & hellip& hellip; The doctor suddenly felt the severity of the condition and immediately arranged emergency CT. As expected, the report showed that 'cerebellar hemorrhage broke into the fourth ventricle'. After admission, the patient's condition deteriorated rapidly, and the glass score was only three points (severe coma, life-threatening). Neurosurgical consultation believed that the patient was in critical condition and needed surgery to relieve hematoma compression. Zhu Biao, a neurosurgery expert of Zhejiang Provincial People's Hospital and chief physician of Neurosurgery of Tongxiang hospital, specifically discussed and formulated a treatment plan with fan Shuqiang, director of Neurosurgery of Tongxiang hospital and Qu Jianmin, director of ICU, and immediately carried out emergency craniotomy.
Cerebellar hematoma appeared in the field of vision. After Zhu Biao, chief physician and Shao Fengwei, deputy chief physician carefully removed the blood clot on the surface, an unexpected danger appeared. They found that there was a 'wasp nest' hidden below. Everyone immediately picked it up. If they accidentally touched & hellip& hellip; It's hard to clean up.
It turned out that after the surface blood clot was cleaned, the lower mass with a size of about 3 * 3 * 4 cm was bleeding widely, its texture was tough, and there were many blood supply vessels around it. According to rich clinical experience, Zhu Biao judged that it was different from ordinary hematoma and should be a dangerous' cavernous hemangioma '. It is reported that because its profile is spongy or honeycomb, it is also referred to by doctors as' wasp nest '. At this time, surgeons also play the role of 'firefighters'.
Experts work together to remove the 'wasp nest'
"Ordinary craniotomy is already very complex and dangerous, not to mention the cavernous hemangioma with complex blood supply and unable to withstand touch. Surgery not only requires doctors to have rich experience and skilled technology, but also have firm willpower and patience. " Zhu Biao later recalled that the operation process was also a little afraid. At that time, due to the emergency situation, he had no chance to make further judgment on the nature of the bleeding, so he began the emergency operation. "The method of removing the cavernous hemangioma is completely different from that of other simple hematomas. First, the blood supply vessels around the tumor body should be cut off one by one, and then the whole tumor body can be cut off. If the tumor is accidentally broken during operation, it is likely to lead to uncontrollable massive bleeding, just like a wasp pouring out and coming face to face. It endangers the lives of patients, so it is called a hidden killer on the neurosurgical operating table. "
Zhu Biao said, "fortunately, when we found that it was a cavernous hemangioma in a dangerous part of the brain, we made a quick decision to immediately adjust the operation plan and adjust our mentality." Finally, with the cooperation of anesthesiologists, the operation team worked hard for more than four hours to successfully remove the cavernous hemangioma in the patient's cerebellum. The postoperative pathological report confirmed that it was a cavernous hemangioma.
The results of postoperative magnetic resonance examination showed that the small cerebral cavernous hemangioma had been completely removed. At present, the patient has clear mind, can correctly answer the questions raised by the medical staff, and can move freely. He has returned to the general ward for follow-up treatment. Director Zhu Biao and his colleagues felt very happy. The patient survived the operation and recovered well, which showed that all their efforts and hard work were worth it.
Inexplicable headache and dizziness should be paid attention to
According to Director Zhu Biao, cerebral cavernous hemangioma refers to a spongy abnormal vascular mass composed of many thin-walled blood vessels. These abnormal blood vessels are close together, with a small diameter of several millimeters and a large diameter of 3 ~ 4 cm, showing bright red or strawberry shape. Cavernous hemangioma is not a true tumor, but a cerebrovascular malformation because it looks like a tumor. Similarly, its' spongy 'is also named according to its shape. It is named because its' section is spongy or honeycomb', and it can absorb blood like a sponge and becomes larger and larger (it is also honeycomb, which is referred to as' wasp's nest 'by doctors). The incidence rate of population is about 0.4%~0.8%, and it is more common in adults aged 40-50 than in men.
'cavernous hemangiomas can occur in any part of the central nervous system, and have different symptoms due to different focus locations. First, because its vascular wall is composed of single-layer endothelial cells and lacks muscle layer and elastic layer, it means that the stagnant blood is easy to break the bleeding lumen. These characteristics lead to the most typical clinical manifestations of intracerebral cavernous hemangioma, that is, the tendency of spontaneous repeated bleeding, followed by secondary epilepsy, headache, progressive neurological dysfunction and so on. "
Director Zhu Biao said that although spontaneous intracerebral hemorrhage in the elderly is more common in hypertensive intracerebral hemorrhage, the hemorrhage in the same part should be highly suspected of being caused by cerebrovascular disease. Among them, those who only take headache as the clinical manifestation are more hidden, especially in midsummer. It is often thought that it may be caused by heatstroke. Magnetic resonance imaging is a specific method for the diagnosis of cavernous hemangioma, especially magnetic sensitive imaging. It can be found that about 19% of cases are multiple lesions, ranging from several to dozens of large and small lesions.
Surgical resection of lesions is the fundamental method for the treatment of cavernous hemangioma. Surgical treatment should be actively selected if there is a clear history of repeated bleeding, or definite seizures, or progressive neurological dysfunction. For small and asymptomatic lesions, follow-up observation can be done.
Director Zhu Biao reminded that if ordinary people have unexplained headache, dizziness and syncope, they should go to a regular hospital as soon as possible to check and clarify the disease in time, so as to make corresponding treatment.