Text/Jiang Xin, correspondent of Zheng Da, an all-media reporter of the Yangcheng Evening News
Recently, 37-year-old Xu suffered from slurred speech and language difficulties, combined with paralysis of his right hand for 1 week. A hemangioma of about 2cm grew, and because of the high risk of surgery, he went to the Department of Neurosurgery of the Fifth Hospital of Zhongda University in Zhuhai.
Liu Fei’s team operated on the patient (photo courtesy of the interviewee)
Director of Neurosurgery of the hospital Liu Fei introduced that the tumor growing in the patient’s skull is a vascular malformation called cavernous hemangioma. The hemangioma just grew in the patient’s motor function area. This acute hemorrhage affected the patient’s speech and right-hand motor function. The lesion should be removed as soon as possible to avoid uncontrollable loss of function caused by re-bleeding. Hemangioma grows in a special location, and patients may suffer from complications such as being unable to speak after surgery. Therefore, experienced surgeons are required and adequate preoperative preparations are required.
After detailed preoperative evaluation and discussion, Director Liu Fei’s surgical team plans to use neuronavigation system for precise positioning and minimally invasive surgery under electrophysiological monitoring. During the operation, the cerebral cortex was only incised 1cm, and the doctor successfully removed the hemangioma under the microscope. On the first day after the operation, the symptoms of the patient, such as poor language, were relieved immediately, and she has been discharged from the hospital successfully.
It is reported that intracerebral and intraspinal cavernous hemangioma occurs in people aged 20-50, with an incidence rate of about 0.37%-0.5%, showing sporadic and familial characteristics, and hemangioma can bleed repeatedly. , thrombus formation, and gradually increase, resulting in various symptoms, most patients have no obvious symptoms, some can cause non-specific headaches, and a few patients can cause serious consequences such as seizures and focal loss of function, the preferred method of examination Magnetic resonance imaging (MR) of the brain.
Liu Fei reminded that surgical treatment is the most effective treatment for cavernous hemangiomas in the brain and spinal cord. People who suffer from headache, dizziness, nausea, vomiting, visual hallucinations, language disorders, unilateral tinnitus, When hearing loss, limb weakness, limb paralysis, convulsions and other symptoms, it is necessary to go to a regular hospital for specialist treatment as soon as possible to avoid delaying the disease.