After a busy day in the field, I suddenly had a headache and vomiting. I thought it was a heat stroke, but I never thought it was a ruptured intracranial aneurysm. Fortunately, doctors in Guangzhou operated on time and snatched her back from the “ghost gate”. Neurosurgery reminds that high temperature or sharp changes in temperature can easily lead to rupture of intracranial aneurysms. Citizens and friends must not take it lightly.
Sudden severe headache after labor
51-year-old Wang Fang (pseudonym) is a down-to-earth farmer. March is the busiest time of spring farming. Like in previous years, Wang Fang is also busy in the fields frequently. On March 27, after returning home from a day of work, she, who has always been strong, suddenly felt a dull pain in her head and vomited out all the food she had eaten.
“The sun was still relatively strong that day.” At first, Wang Fang thought that the heatstroke was caused by working under the scorching sun, so she rested early. However, after the rest, the headache became more serious, and Wang Fang went to the local health station for treatment. “It got better after the infusion.” But the next day, the symptoms of headache and vomiting worsened, and the mental state became worse and worse.
So he went to the local hospital again, and head CT showed subarachnoid hemorrhage. Two days after being hospitalized for conservative treatment, Wang Fang had unbearable pain in her head and gradually became confused. “The headache is terrible, I want to sleep, and I can’t lift myself up.” Wang Fang said. In order to seek further diagnosis and treatment, on March 31, Wang Fang, accompanied by her family members, came to Guangdong Sanjiu Brain Hospital.
High temperature can easily lead to rupture of intracranial aneurysm
Wu Taihua, director of the Seventh Department of Neurosurgery in the hospital, carefully read the films and examined the body, and believed that It is more likely that intracranial aneurysm rupture and hemorrhage. The perfect cranial CTA examination showed that there was a blood vessel “bulge” about 6.1mm × 5.9mm in the left internal carotid artery communicating segment, which further confirmed Wu Taihua’s diagnosis.
On April 1, Wu Taihua decided to clip the aneurysm through the left pterional keyhole approach after excluding the contraindications to the surgery. “The incision is about 5-6cm long, which is less traumatic than traditional surgery.” Wu Taihua introduced that the neck of the aneurysm was completely exposed during the operation. Under the circumstance of carefully protecting the parent artery and the posterior communicating artery, the aneurysm was completely clipped and removed. Remodeling of the posterior communicating artery.
Photo from Xinhua News Agency, Neurosurgery.
“Intracranial aneurysms are like ‘time bombs’, which are prone to blood pressure fluctuations under conditions such as high temperature, rapid alternation of hot and cold, emotional agitation, and overwork, resulting in the already weak aneurysm vessel wall It ruptured and caused massive bleeding,” Wu Taihua said. After symptomatic treatment such as spasm relief, dehydration, and nutritional support, Wang Fang recovered and was discharged from the hospital 8 days after the operation.
Nowadays, the temperature is gradually rising. Citizens should not only maintain a stable mood, but also pay attention to scientific work and rest and normal diet. Wu Taihua emphasized that once severe headache or vomiting occurs, after eliminating heatstroke, cold and other causes, you must not take it lightly, and you should go to the neurologist immediately.
Written by: Southern Metropolis reporter Wang Daobin correspondent Zheng Lin