Meningiomas are derivatives originating from the meninges and meningeal space. The incidence rate accounts for 19.2% of intracranial tumors, second only to glioma. ranks second. The incidence rate in women is twice that of men.
Ms. Zhang (pseudonym), 53 years old, also unfortunately suffered from meningioma. Six months ago, her hearing in her left ear declined inexplicably. She once thought it was because of her age. It was not until she went to the hospital for examination because she deviated to the left when walking The culprit was found to be a huge meningioma growing inside the skull!
Hearing loss was mistakenly thought to be a "natural phenomenon of old age", and a chain reaction occurred and a huge brain tumor was detected!
Ms. Zhang lives in Tuanjie Town, Xishan District, Kunming City. She experienced hearing loss in her left ear about half a year ago without any obvious cause. Apart from this, she had no other symptoms, so she secretly thought it was due to her old age and the poor impact on her life. As a result, I never paid much attention to it and did not go to the hospital for treatment. This delay lasted for half a year.
Until the end of July, Ms. Zhang had a chain reaction. She walked to the left without any obvious inducement. Then she went to the local health center. After infusion treatment, her symptoms still did not improve significantly. Her family accompanied her to the district hospital. , took a brain CT and found out that something serious was wrong.
Brain CT results suggest : There is a huge space occupying the left posterior fossa of the brain. The possibility of meningioma is considered. The situation is complicated and it is recommended to transfer to the hospital for treatment.
The whole family was confused and panicked. Fortunately, the family members who calmed down tried their best to inquire around and learned that The Department of Neurosurgery of Kunming Sanbo Brain Hospital was led by Beijing resident expert Dean Zhang Yongli. He had extensive experience with brain tumors, so he went to the hospital to seek further treatment!
The Sanbo team worked hard on the difficult surgery for nearly 10 hours to perform the "careful" resection and fight for their lives!
After admission, Director Zhang read the information carefully and asked about the medical history. After physical examination, the initial diagnosis was : left cerebellopontine angle occupying meningioma is possible, but the risk of surgery is high, and the choice of treatment method needs to be completed after examination. Only then can we draw conclusions.
After thorough examination, the brain MRI showed that the left cerebellopontine angle area and the left petrosclinal area were occupying space, which suggested the possibility of meningioma; the head and neck CTA showed that the C6 and 7 segments of the internal carotid artery were compressed, and the left cerebellopontine angle area and the left petrosclinal area were compressed. Some blood vessels are embedded and the lumen becomes thinner.
Preoperative examination
Dean Zhang introduced : "The patient's symptoms were obvious and there were clear Indications for surgery , the patient has no obvious contraindications to surgery, and should be treated with surgical resection. However, the risk of surgery is high. The tumor is not only large, about 6X5X4cm, but also very sensitive. The surrounding blood supply is rich, and the tail side reaches the lateral medulla oblongata and the posterior group. The cranial nerves have tight adhesions and are partially embedded in the tumor. The inner tumor surface is rich in blood vessels and has no boundaries with the cerebellum and brainstem. The adhesions are tight. "It is very difficult to remove the tumor, which may affect the neurological function," he said. "With conservative treatment, brainstem dysfunction may occur at any time, endangering the patient's life."
Faced with Ms. Zhang's family's eagerness for treatment. , Dean Zhang, who has more than 30 years of clinical experience, led the neurosurgery team to formulate a detailed and thorough surgical plan for Ms. Zhang after many discussions and full communication with her family members. decided to perform "left suboccipital retrosigmoid sinus surgery" Approach, tentorium incision and resection of huge petroclival meningiomas” .
During the operation, after preliminary exploration, it was found that the operation was more difficult than imagined . The test faced by the doctor was not only to remove the tumor as much as possible, but also to protect the nerve function as much as possible.Dean Zhang led the team to respond calmly under the surgical microscope . They first cut off the blood supply of the tumor to control bleeding, and then removed the tumor in pieces. At the same time, they relied on superb surgical skills and rich clinical experience to carefully peel off the tumor and carefully protect the tumor. Important nerve and blood vessel structures with tight adhesions.
The operation lasted from 10:30 in the morning to 19:40 in the evening. worked hard for nearly 10 hours of "careful" resection. Finally, the tumor was completely removed under the microscope, fighting for Ms. Zhang's life.
Postoperative examination
Postoperative case diagnosis also confirmed Dean Zhang’s diagnosis.
Pathological diagnosis report
Doctors remind: These abnormalities in middle-aged and elderly people are not necessarily signs of old age, but may be warning signs of brain tumors!
Meningiomas are the most common benign tumors of the central nervous system . They originate from the arachnoid cap cells of the meninges and are common in middle-aged and elderly people. Benign meningiomas grow slowly, have a long course of disease and can originate from any part of the brain. Patients have almost no obvious clinical symptoms in the early stage. However, due to their expansive growth, clinical manifestations include epilepsy and dizziness, headache, vomiting and other cranial symptoms. Symptoms of increased internal pressure may also occur local symptoms of the nervous system such as limb movement disorders, sensory, language expression, mental activity and visual impairment.
When people reach a certain age, their body functions decline, and various problems will appear. But it should be noted that the above abnormal symptoms in middle-aged and elderly people are not necessarily signs of old age. They may be warning signs of brain tumors. They should seek medical treatment in time, and do not easily label them as "a natural phenomenon of old age" and delay treatment.
Surgical resection is the treatment of choice for symptomatic meningiomas. Most meningiomas are superficially located, far away from important functional areas, and do not include important nerves and blood vessels. The operation is relatively difficult and the risk is relatively low. It is easy to achieve a higher resection rate and a better prognosis. If the meningioma grows relatively large, is deeply located, has a rich blood supply, is hard and tough, involves functional areas, or contains important nerves and blood vessels, then the operation will be more difficult and the risk will be relatively higher, making it difficult to ensure a higher outcome. resection rate, and even coma and death.
Generally speaking, in recent years, with the improvement of imaging technology, minimally invasive surgical technology and equipment, the safety of meningioma surgery has been significantly improved, and the occurrence of postoperative complications has been greatly reduced. Early treatment can reduce complications and Side damage!
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The purpose of this article is to provide general health science information. It is for reference only and cannot replace personal medical diagnosis and treatment. For personal medical problems, please consult a doctor at the hospital.
