What's wrong with the long tail on the baby boy's head
4hw.com.cn: Recently, a new-born boy in Guangdong has attracted widespread attention. Different from the normal boy, the new-born boy has an amazing "little tail" on his head. Moreover, the little tail grows up slowly after the baby is born. What kind of strange disease does the boy have? Let's have a look.
On the afternoon of February 24, it was learned from the Department of neurosurgery and brain tumor of Sun Yat Sen Memorial Hospital of Sun Yat sen University that the baby was successfully operated on 10 days after birth and successfully 'lost his tail'. At present, the recovery is good.
There is a crack in the back of the head!
'doctor, what's the strange thing on the back of my son's head?! Please help him! "Before the Spring Festival, a young Chaoshan father, Xiaoding, rushed into Sun Yat Sen Memorial Hospital with a 7-day-old baby. It turns out that when a baby is born, the back of the head comes with a 'little tail', about the size of a little thumb. Xiaoding found that the little tail of the child is getting bigger every day. Worried, he took the child to seek medical treatment.
"This baby has a cranioschisis with meningocele, and must be operated on as soon as possible. 'the doctor told Xiaoding that the' little tail 'in the back of the child's brain was actually an intracranial volume protruding from the crack. Generally speaking, such a small baby is at greater risk of surgery, but the child must operate as soon as possible. Otherwise, due to the rapid growth and development of the newborn, with the rapid growth of the tumor, the scalp becomes thinner and thinner, the mass may be broken, and cerebrospinal fluid outflow will lead to intracranial infection, with unimaginable consequences.
Ten day old baby is not easy to do surgery, and the risk of suffering from congenital heart disease is high
In order to save the baby's life, the Xiaoding family asked to operate on him as soon as possible. Baby Ding is too young to receive general anesthesia and surgical resection. At the same time, the skull defect around the 'small tail' and the thin scalp, the tumor adhesion, to completely separate and remove the tumor, it is very difficult. Not only that, the examination results before the operation give the doctor a problem. Preoperative blood biochemical examination showed that his blood potassium was on the high side, ECG showed that his heart rate was too fast, and color Doppler showed congenital heart disease (ASD). The hospital invites the consultation of Neonatology Department, cardiology department and anesthesiology department, so that the children can meet the operation indications, so as to ensure the safety and smooth of every link before and after the operation.
On February 8, 2018, on the 10th day of baby Ding's birth, doctors carried out 'occipital mass removal + dural repair' for him. After dissociating the tumor completely, doctors found that there was a tubular structure with a diameter of about 0.8 cm connecting the brain and the tumor. After the tumor was completely removed, the doctor immediately repaired and sutured it carefully to avoid complications such as intracranial infection caused by cerebrospinal fluid leakage. The child's scalp is delicate and small. The doctor, like embroidery, trims and stitches the scalp layer by layer.
At present, the vital signs of infants are stable and the wounds are well healed. Under the careful treatment of Neurosurgery, neonatology, anesthesiology, cardiology and other disciplines in Sun Yat Sen Memorial Hospital of Sun Yat sen University, the baby has been able to drink milk normally and is ready to be discharged home.
Experts remind: or because pregnant mothers don't get enough folic acid
According to doctors, cranioschisis combined with meningocele is a congenital developmental malformation, which belongs to a kind of encephalocele. According to the different contents of herniation, encephalocele can be divided into meningocele, meningocele and hydrocephalus meningocele. Because of the congenital skull defect of baby Ding, the intracranial volume herniated to the outside of skull through the defect. In the development of human embryo, because of the incomplete closure of the head end of primitive neural tube, it can affect the development of skull, meninges and brain, and produce various types of encephalocele.
At present, it is believed that there are many factors leading to neural tube insufficiency, among which the insufficient intake of folic acid during pregnancy is a recognized pathogenic factor. These lesions not only affect the appearance of children, but also affect their growth and development.
Doctors suggest that to avoid such a encounter, pregnant women should take folic acid regularly to prevent developmental deformity, in addition to regular and timely birth inspection, early detection of developmental deformity, and try to avoid birth defects.
If the baby is born with encephalocele, it should go to the normal hospital for diagnosis and treatment as soon as possible. Through B-ultrasound, CT and MRI examination, the characteristics and severity of developmental malformation can be determined. Experienced doctors will develop specific treatment plans based on the overall situation of the baby. If the child has no obvious contraindications such as cardiopulmonary disease, the earlier the operation, the better.