? Many people may not care too much, and if they feel really uncomfortable, they may take some headache pills. Recently, the 5th Department of Neurosurgery of Guangdong Sanjiu Brain Hospital has successively admitted two male patients. They are about the same age and have had headaches for many years, and they were eventually diagnosed with tumors in the craniocervical junction area.
Mr. Chen and Mr. Zhang (both pseudonyms) are both in their 50s this year. The two have never met each other, but their experiences are very similar: they have been having headaches for many years, but they didn’t care at first, and when the headache was unbearable, they took some headache powder, and the headache can get better after taking the medicine. Some time ago, Mr. Chen and Mr. Zhang's headache worsened and their heads seemed to be "explosive". Taking medicine was useless. They went to many hospitals and continued to treat them according to migraine , but the symptoms did not improve at all.
htmlIn September, Mr. Chen and Mr. Zhang went to the Department of Neurology of Guangdong Sanjiu Brain Hospital to seek medical treatment. The results of the cervical MRI examination in our hospital all showed that they were tumors in the craniocervical junction area. After the neurology expert invited our hospital’s vice president and neurosurgery expert Lu Ming and Wang Guoliang, director of the Fifth Department of Neurosurgery, to consult, he agreed that surgical treatment should be done as soon as possible.
After examination, it was found that the tumors of both patients were located in the craniocervical junction area, which had very severe compression to the medulla, and Mr. Chen had already developed numbness and weakness on one limb. The tumor is located in the craniocervical junction area and has a high risk of surgery, but if the surgery is not treated promptly, it may face the possibility of high-level paraplegia.
After multiple studies and analysis, the doctor decided to use high-definition microscopy and high-definition neuroendoscopy assistance in the operation, and the full electrophysiological monitoring should be carried out to maximize the smooth operation. During the operation, it was seen that the tumor originated from the dural at the craniocervical junction, and the surgeon carefully separated the tumor from the cranial and cervical nerves.
Afterwards, Mr. Zhang's operation was also successfully completed, the cranial and cervical nerves were well protected, and the spinal cord was fully decompressed.
▲Image information related to patient Chen
▲Image information related to patient Zhang
After the operation, the somatosensory and exercise evoked potential of in both patients improved, the headache symptoms disappeared, and Mr. Chen's limb numbness and weakness basically disappeared. The pathological results of both patients after surgery were indicated as benign meningioma. Five days after the operation, both Mr. Chen and Mr. Zhang were discharged from the hospital successfully.
Deputy Director Lu Ming and Director Wang Guoliang pointed out that the ventral and ventral and lateral tumors in the craniocervical junction are deep, and the surrounding area is similar to the cranial nerves, vertebral artery, medulla, and medulla, are more difficult to operate. The surgery should protect neurological function to the greatest extent. Under the monitoring of nerve electrophysiology, the relationship between the lesions and the posterior group cranial nerves, cervical nerves, lesions and vertebral arteries can be prioritized. During the operation, neuroendoscopy can be used to observe the ventral tumor on the lens, basically zero pulling of the spinal cord and nerve roots, and the tumor is removed in situ. During the operation, the tumor should be separated strictly according to the arachnoid interface. During the operation, low-temperature electrocoagulation should be used to minimize damage to the spinal cord and remove the tumor base to the greatest extent, which may reduce the chance of tumor recurrence.
