Cover News Reporter Zhou Jiayi
Recently, a brand new banner was sent to Neurosurgery Department of Sichuan Fourth People's Hospital to express their gratitude to the medical staff in the department. This matter starts three months ago.
Aunt Pan (pseudonym), who has been living in Yunnan Province for many years, has always been in good health and lives a happy life with her family. Three months ago, Aunt Pan began to have headaches and dizziness, her right limb movement began to be limited, and her symptoms gradually worsened. Without the premise of losing consciousness, she began to speak less and did not answer questions.
Aunt Pan felt that she had a general headache, so she wanted the doctor to prescribe some painkillers for herself. But the doctor did not do as she wished, but as usual, carefully asked her if she had other symptoms, and asked her to get up and walk a few steps to observe her walking condition.
After undergoing an MRI examination, the doctor considered that Aunt Pan had multiple intracranial mass, which had the possibility of malignant tumors and metastasis, and recommended surgical treatment. This "bad news" was like a bolt from the blue, scaring Aunt Pan and his family.
Considering that brain surgery was a major operation, the family decided to take Aunt Pan from Yunnan to Chengdu for treatment. After many twists and turns, I finally came to the Department of Neurosurgery of Sichuan Fourth People's Hospital.
At the clinician's advice, the patient undergoes further enhanced magnetic resonance scans to exclude tumors from other sites.
However, the attending physician Tong Dongdong hesitated after seeing the patient's past medical history. The medical record clearly states: A local hospital in Yunnan was diagnosed with "herpes" due to multiple ulcers in herpes throughout the body, and did not improve significantly after treatment.
"This is not a brain tumor, it is an brain abscess !" Tong Dongdong communicated with Aunt Pan's family.
Just as Aunt Pan's family was hesitant, but when she breathed a sigh of relief, Tong Dongdong also reminded Aunt Pan's family that although it was considered an infectious lesion, the edema around the lesion was severe and there was still danger of not being treated in time. He advises patients to add anti-infection treatment first during the treatment period to see if the situation will improve.
So, a miracle happened. On the fifth day, Aunt Pan's lesions became smaller and his mental state improved. After another examination and consultation, the neurosurgeon basically checked the primary and secondary brain tumors in the cranial region, and confirmed that Aunt Pan had a brain abscess caused by bacterial infection. This is much better than cerebral infarction and brain cancer. Craniotomy can be eliminated, and cure can be achieved through drug treatment.
It is understood that brain abscess is an intracranial infectious disease, which refers to the suppurative encephalitis, chronic granuloma and envelope formation of brain abscess caused by suppurative bacterial infection, as well as a small number of brain abscesses caused by invasion of fungi and protozoa into brain tissue. The clinical manifestations are similar to glioma and brain metastases. The typical symptoms are headache, local neurological defects and progressive behavioral cognitive dysfunction. Only half of the patients have symptoms of fever.
Tong Dongdong said: "I am very sure because we consulted with experts from the radiology department. According to imaging examination, the experts believe that although the patient's lesion is edge-shaped and circularly strengthened, diffusion-weighted imaging (DWI) shows that the edge diffusion of the lesion is not restricted, while the internal diffusion of the lesion is restricted, which is a typical manifestation of brain abscess. Therefore, the diagnosis of metastatic tumors is ruled out, and brain abscess is initially diagnosed." He said that part of the reason why the previous doctors did not diagnose it was that patients with brain abscess generally had higher infection indicators in the blood and would also have fever. Aunt Pan suffered from a occult brain abscess that was difficult to detect. The source of the infection was not obvious, which made him have no other symptoms except discomfort.
is fine, Aunt Pan received treatment in time. During the treatment period, she did not show any symptoms of headaches, and her body is gradually recovering. At present, the patient has been discharged from the hospital.
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