The tumor is stuck with the brain stem experts and the "big scourge"

In the neurosurgery ward of BenQ Hospital affiliated to Nanjing Medical University, 11 -year -old Cong Cong sat on the sofa with a building block. "Although the action is still a little clumsy, after three or four months, and one year, he must be able to jump alive, like the normal child." Said Professor Wang Handong, deputy dean and director of neurosurgery. It is understood that because of the huge glue tumor in the brain, Cong Cong had experienced a craniotomy. Recently, with the help of Professor Wang Handong, this "big scourge" in his mind was finally removed.

The tumor is stuck to the brain long, open the head and close

"We found that the child was not right and vomited frequently from the beginning of this year. At first, we thought that there was a problem with gastrointestinal tract. I saw several hospitals. Later, some doctors found that the child had an eyeball. It is unstable, so I suspect that the problem is in my mind. "Congcong's father said that after the nuclear magnetic resonance, the diagnosis was very clear. The child had a position in the child's mind. It was the tumor in the brain that led to Congcong's series of symptoms.

In order to allow Congcong to receive better treatment, they took their children to Beijing and performed craniotomy in a hospital, but this operation did not come to the good news that the family hoped. Because Congcong's tumor and brain stem and cerebellum adhesion can only be removed, only a small part can be removed, the problem of hydrocephalus is solved, and the open head is closed again. Postoperative case tips: Considering low-level glue tumors, grading I-II level. Experts suggest to try chemotherapy to "deal with" the remaining tumors in the brain.

As a result, Congcong's parents brought their children to Nanjing again. After the examination, the pathology experts would consult and combine molecular gene examination to determine that Congcong suffered from caterenocytoplastoma, and the grades were level I. The doctor suggested that Congcong's parents consulted Professor Wang Handong, director of the Neurosurgery of Nanjing BenQ Hospital. If the tumor can be completely removed, Congcong does not need to further spread chemotherapy, and it will get the result of clinical cure.

Two times open the cranial, "boldness and carefulness" removes the tumor for 3 hours

"The video examination data before the child shows that the tumor in the brain is removed with a small piece of wedge, and there are quite large residues. The tumor diameter is 4-5 cm, can it be removed? I think it can." Professor Wang Handong said, said, said, Professor Wang Handong said. The brain stem connection to the brain and spinal cord is a very important anatomical structure. It has a large number of nerve fibers and neuropic nuclear groups, which is related to many physiological functions such as heartbeat, breathing, exercise, digestion. Although Congcong's tumor originated from the brain stem and is widely adhered to the brain stem, it can still see the "dividing line" with the brain stem in the image, and it is still possible to peel off. "More importantly, Congcong's tumor grading is a level I, a benign tumor, and is not sensitive to chemotherapy. If chemotherapy is performed, cerebral edema will soon affect many physiological functions, even paralysis, the quality of survival, quality of survival quality It will decline significantly. "Professor Wang Handong said that surgical removal of tumors is definitely the optimal solution for Cong Cong, a 11 -year -old child.

After fully preparing, Congcong's secondary craniotomy began. The surgery entered from the "wound" of the first surgery. Under the microscope, Professor Wang Handong carefully separated the tumor along the boundary of the tumor and brain stem, and separated the tumor a little bit. Once the core area of ​​the brain stem is touched during the operation, Congcong's heart rate may immediately slow down. At this time, you need to change the area to operate. The doctor dared to pump the cocoon. During the three hours of surgery, Congcong's brain tumor was finally fully fulfilled. Remove it.

Two operations, Cong Cong left only a scar behind his head. After growing, he could not see it. Symptoms such as headache and vomiting have also disappeared. After a period of recovery and adaptation, they can return to normal life.

There are many types of child skull tumors, parents should pay attention to the corresponding symptoms

Children's intracranial tumor surgery has its special characteristics. The child's own body weight and less blood capacity. Therefore, there are special attention points such as anesthesia and monitoring during surgery. Bleeding during surgery should be controlled. In order to ensure the safety of the entire perioperative surgery. It is understood that Professor Wang Handong had done various intracranial tumors for more than ten children at the Mengji Hospital of Nanjing for half a year, especially the high -difficult tumor surgery of the skull bottom, and the prognosis of small patients was very good.

Professor Wang Handong reminded that children's brain tumors have different places and tumors in different natures, and their clinical manifestations are not exactly the same. Brain tumor compression to the sympathetic and paranexical nerves, which affects the digestive system of digestive tract symptoms such as indigestion, nausea and vomiting; compression of motor nerves, there may be unstable gait and abnormal gait and coordination; Vague, visual reckless shadow and so on. It should be noted that if children have abnormal growth and development levels, such as too thin and too high, consider whether there are brain tumors and other diseases.

For some genetic tendencies with family history such as neurofibroma, sponge -like hemangioma or vascular female celloma, pay attention to the early examination of the child in order to find problems as early as possible.

Correspondent Li Na

Reporter Sun Sujing

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