The cerebral membrane tumor erodes the brain stem, and there are life -threatening three -blog experts at any time to make her reunion

"I am especially grateful to Director Zhang Mingshan. I have no uncomfortable places now, and I have never expected that I can still speak now and I can take care of themselves." Aunt Kang, 64, said gratefully. More than 2 months ago, Aunt Kang found the symptoms of the left bridge cerebellum horn in the left bridge cerebellum, and had penetrated into the brain stem because of his headache. ...

Dizziness and headache did not pay attention to it.

Aunt Kang, who lives in the northeast, has always been hearty, her body is very good, and she doesn't care if she is a little ill. Four years ago, Aunt Kang, 60, began to have headache and dizziness from time to time. At that time, he thought he was old and caused by the aging of cerebrovascular vascular. It wasn't until Aunt Kang felt that her legs had no strength and softly went to the local hospital to check. I really found a big problem when I checked it.

The CT and MRI results of the local hospital reminded that Aunt Kang's left bridge cerebral corner area may be the meningioma. However, considering that Aunt Kang is old, and the location of the tumor is special, the volume of the tumor is relatively small. It is recommended that Aunt Kang conservative treatment, first take medicine to observe.

Two months ago, Aunt Kang felt that the symptoms of headache and dizziness worsened, and with her physical action, the position of headache and dizziness continued to change. Sometimes she was accompanied by nausea and vomiting. She could vomit many times a day. In addition to tolerating the discomfort of headache and dizziness, Aunt Kang's left ear began to appear tinnitus, tinnitus sound was loud, and when he looked at things with eyes, he had no strength, unstable standing, and people needed to help. The change in the body seriously affected the normal life of Aunt Kang, causing her to be tortured, and people began to lose weight.

At this time, Aunt Kang's children did not dare to care about it, and quickly took her to the hospital to see the doctor again. After inspection, Aunt Kang's tumor in the corner area of ​​the left bridge has become larger and has penetrated into the brain. Danger........

Tumor push squeeze brain stem precision formation surgical plan

Aunt Kang's family took her to find Director Zhang Mingshan, the second ward of neurosurgery area of ​​Sanbo Brain Hospital of the Capital Medical University. After the consultation of Director Zhang Mingshan, he carefully asked Aunt Kang's condition, and combined with the preliminary judgment of the image data, the culprit of the torture of Aunt Kang was "meningioma". At the same time, Aunt Kang was also accompanied by obstructive cerebral water.

Preoperative image

Director Zhang Mingshan analyzed that most of the meningus tumors of the bridge's cerebral corner region originated from the rear of the tumor, ⅶ/ⅷ, ⅸ, and the cranial nerve. And the tumor near the middle line also has a wealth of vascular structures, including the basal arteries, vertebral artery, anterior cerebellar arteries, and lower cerebellar rear arteries. It is also due to the complexity of its location that surgical resection will be extremely difficult.

It can be seen from Aunt Kang's brain nuclear magnetic film that the tumor is currently large, and Aunt Kang's tumor has pushed the brain stem. If it is not surgery in time, the risk of cerebral hernia and breathing cardiac arrest will occur at any time. Dr. Gu Chunyu of Zhang Mingshan Director Gu Chunyu also explained and communicated with Aunt Kang's condition, surgical necessity, surgical method, postoperative situation and recovery points, and Aunt Kang's family. After listening to Dr. Gu Chunyu's patient explanation, Aunt Kang's family decided to undergo surgery.

The brain is the most precise and most complicated organ of the human. For complex surgery of the skull bottom, choosing different surgical circuit methods will completely affect the difference in surgical results. If you want to completely remove the cerebral membrane tumor in the small cerebral corner area and not hurt the surrounding brain stems, nerves and blood vessels, every detail of the operation is very important.

Before surgery, Director Zhang Mingshan organized a number of general discussions, carefully studied the surgical plan, fully evaluated the problems that might encounter during the operation and proposed solutions. Finally Essence "The surgical path is based on the physiological gaps of the brain pool and the cranial nerve nerve, which can effectively expose and remove tumors, and to maximize protecting the important nerve structure of the Hashimi cerebral corner area." Director Zhang Mingshan said.

Sudden tumor stroke three blog experts "thunder"

Condition is fierce than tiger. At 11 o'clock one night before the operation, Aunt Kang had a sudden tumor stroke, that is, the sudden bleeding of the tumor, which caused the intracranial pressure to increase sharply, the cerebral hernia was formed, and it fell into a coma. There is a heartbeat and breathing arrest at any time, resulting in clinical death. At this time, the patient's family was hesitant. The patient was unconscious. Can the surgery be rescued? Will it be a vegetative after saving it? This is difficult to make a choice for families who are not wealthy.

CT seen after tumor bleeding

Director Zhang Mingshan rushed to the hospital immediately after understanding Aunt Kang's condition, and once again communicated with his family members. If he did not surgery, the only thing to wait for the patient was the victory of the surgery. First, although the patient had sudden tumor bleeding, it was discovered in the hospital but found in the hospital. Very timely, I won the precious time. The second is that the patient is in a coma and the pupil reflection is sensitive. At this stage, the surgery has the opportunity to reverse the state of consciousness. Finally, the director of Zhang Mingshan and the family members of the patient said that life is the first. Don't consider the issue of money first.

At midnight, the operation of the operating room, anesthesiology, and electrical staff actively cooperated. On the operating table, Director Zhang Mingshan found that Aunt Kang's brain tumor blood supply was very rich, and the tumor and the brain stem and the base of the ancestral arteries were very abundant. Tightly sticky. If the brain stem injury is disabled, the patient is disabled, and the severe will coma after surgery; the basal artery injury will cause severe brain stem ischemia, which will cause patients to never be awake or leave permanent sequelae. Under the microscope, Director Zhang Mingshan carefully separated the tumor and the cranial nerve adhesion, and the tumor and the brain stem adhesion was also carefully separated under the mirror. About seven hours, accompanied by the east sunrise, the surgery ended smoothly, all the tumors were removed, the hematoma was cleaned, and the important nerves and tissues were fully protected.

Postoperative images: tumor microscopy all -cut

After surgery, Aunt Kang quickly recovered consciousness and gradually recovered health. "Looking back now, like doing a dream." Aunt Kang said in a return visit, "I did not expect that I could still be so good, no facial paralysis, no problem in eating and drinking. Hospital, you can get out of the hospital after surgery. Be sure to convey my gratitude to Director Zhang Mingshan. "

Director Zhang Mingshan reminds that the typical symptoms of meningoma include decreased olfactory, decreased hearing, dizziness and headache, and visual decreased. Headache is the symptoms of high incidence of female patients. It often manifested as unilateral hair, accompanied by aggravation, and drugs cannot be relieved. If you find that these "warning signals" appear in the body, you must pay attention to it. It is best to go to the hospital to do brain CT to eliminate brain diseases. (Bai Xuanjiao)

Expert introduction

Zhang Mingshan

Chief Physician, Associate Professor, Master Graduate Tutor, Doctor of Neurosurgery, Director

Professional specialty: diagnosis and treatment of intracranial tumors such as listening to neuroma, pituitary tumors, gel tumors, meningiomas, intracranial and external intracranial metastatic cancer, and intracranial metastatic cancer.

Gu Chunyu

Chief Physician, Neurosurgery PhD in Neurosurgery, Sanbo Brain Hospital of the Capital Medical University, PhD in neurosurgery

Professional specialty: long -term clinical and research work for neurological brain tumors, has rich clinical experience in brain tumor diagnosis and surgical treatment.

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