I took part in a dangerous skull-opening operation, cut open the cortex, smelled a stench, and then saw yellow and white sept fluid coming out…
Today I want to share with you a case of shock caused by headaches.
Patient name Liu, male, 42 years old, factory worker.
3 A few days ago, the patient began to experience headaches, mainly in the twilight (near the temple) and for a while, while feeling dizzy and insensitive.
At first, he thought it was a common cold and went to the pharmacy to buy medicine.
But the pills didn’t work, but the headaches got worse and we had to come to our hospital for emergency.
When I was on duty, we emergency doctors, middle-aged men with headaches were very vigilant, especially when they couldn’t bear to come to the hospital.
He won’t come to the emergency unless it’s too painful.
The patient said that the headaches affected work and wanted to take some medicine first.
He still thinks his headaches are a minor problem, but it’s just a dispensary.
That’s not how I see it. What if it’s a brain hemorrhage and a brain infarction?
I asked the patient a number of questions, including whether he had vomited, sprayed vomited, walked properly, had a side that was weak and said no, it was just a headache.
I’m not worried. I made him stand up for a few steps.
Fortunately, the pace is stable, the nervous system is checked, and no apparent anomalies have been detected.
He also said there was no history of head impact, which didn’t look like a stroke.
It may be a common headache, like migraine, nervous headache.
But in case, for example, when brain tumors grow up, they also cause headaches, and in some cases vomit, even affect the eyesight, etc.
“Do a skull CT look. I said:
Patients are a little reluctant, “Isn’t it just a headache? I’m sorry.
Hundreds of dollars of CT, he’s a little overheated.
But eventually, I convinced the patient.
I said, “You’ve had a headache for three days, and it’s worse than a day, and you can’t sleep without CT, and I can’t sleep.” If you suddenly fall in front of me, there’s no idea. I’m sorry.
“Then do it. The patient agreed.
It came out very quickly, as expected, the patient’s skull, C.T., is a real problem, but it’s not a brain hemorrhaging, it’s not a brain tumor, it looks like there’s a cystal in the left small hemisphere, and it’s considered an acute cortex.
I can’t believe it!
When I told him the result, he refused to believe it, and said, “How can I be brain-brokered when I am so well-trapped and able to walk?” I’m sorry.
The human brain has many functional areas, infarction in different places, but the symptoms are different. Some suffer from paralysis, others are unable to speak out, some are in a direct coma, others have headaches, etc., and cannot generalize.
“Now that the skull CT can see clearly, and believe it or not, it’s going to have to be hospitalized, and it’s going to kill somebody. I told him, “I don’t know.
In fact, I’m in a cold sweat myself, and I’m glad he’s being asked to do CT, or if the patient goes into a coma when he comes home, the consequences will be disastrous, not only for the patient, but also for me.
I called a neurologist to come down for a consultation.
After seeing the patient, the physician suggested that the MRI be further developed and that it be more visible.
After all, C.T.’s on this stove is only a preliminary one, and it’s possible that it could be just a brain infarction, a bacterial infection, even a brain tumor.
CT sees no MRI.
“Is MRI more expensive? The patient is worried about this.
“It’s not the time to talk about it, it’s the time to talk about whether or not we can save our lives. “The doctor of the Shinigami is a hard man to talk about.
The patient had no choice but to call his wife, and, at our insistence, he was hospitalized and placed in neurology.
Later, I learned that the patient had no fever, that the detection of infection was low, and that there had been no changes in the disease, such as ear inflammation and tummy.
In the opinion of neurologists, it is unlikely that the infection was caused by bacterial brain intruding in these places, and the potential for cerebral abscess is low.
But the greatest chance of death is in the small hemisphere.
From the CT point of view, brain tumours are not very supportive either, because they are a chronic process, while the patient has only three days of headache, and progress is faster, and can be explained more by vascular infarction.
“If you don’t guess, just check his head with MRI. “The director of the temple board.
On that day, an MRI was scheduled and the results came out.
T1WI shows low signals, border blurs; DW1 shows high signals. Taking into account the history of the disease, in particular the patient’s history of hypertension and smoking, acute infarction in the lower left hemisphere is considered.
This time it’s gone, the MRI has a sound, a brain infarction, in the small hemisphere.
So the patient has headaches and dizziness. A little later, if the disease increases, the consequences will be disastrous.
The patient was also frightened.
Since it is brain infarction, treatment is based on brain infarction, dehydration, expansion of the blood vessels, improvement of the circulation, and so forth. The aim is to reduce the infarction, reduce the swelling of local brain tissues, restore brain tissue injections and try to retain more brain tissues.
But after two days of treatment, the headaches of the patient have not improved, and there seems to be an increasing trend.
That makes me wonder.
Patients are starting to get impatient.
Then the superior doctor checked the room, and it was kind of bad.
Shouldn’t have been, shouldn’t it have been aggravated if it hadn’t been better?
Or if the condition is changed, the head has to be reviewed.
Another MRI?
The patient’s scared. It’s too loud. It’s like a decorating scene in the room.
“Can you do CT, not MRI?” patient asks.
“That’s not gonna work, CT can’t see. The brain is still MRI’s best, and this time it’s going to have to be enhanced. “The doctor in God is very determined and unnegotiable.
Patients take their lives. Then do it. Better wait and die.
When I entered the MRI machine room, the patient had more headaches. But still, they did. They did the check.
It came to the doctor soon.
The results of this MRI show that approximately 2x2x2cm is visible outside the left small hemisphere near the cortex, with a moderate oedema around the stove, an increase in irregular ring reinforcement on the edges of the stimulant stove, and consideration of star cell glymphoma or lymphoma.
“Yes, brain tumor, not brain infarction. I’m sorry.
The doctor explained to the patient: “The acute period of brain infarction is sometimes very difficult to distinguish from a brain tumor. I’m sorry.
Clear Thunder.
The patient is going crazy. It’s a brain infarction.
“The tumor doesn’t mean cancer. “The patient, though angry, is more afraid inside.
The brain tumor means something, and although the doctor hasn’t explained it, he feels it.
The first MRI was smoothing, not so clear, and the MRI was a contrastant, enhanced scan, so it was better to see, and after a few days, the disease changed markedly, so it looked like a brain tumor, a star cell gel tumor.
According to the doctor: ” Of all brain tumours, the highest incidence, most complex treatment and most difficult to cure are gel tumours. I’m sorry.
“Why is it not working with brain infarction because you’re not brain infarction at all, you’re brain tumors, and you’re a glucoma. Dr. Shinigami explains:
“Brain infarction and brain tumor are different things. Brain infarction is a vascular problem, and brain tumor is a brain cell problem. I’m sorry.
If it’s considered a brain tumor, it’s left to neurosurgery, which can’t be dealt with.
The patient was assigned to neurosurgery.
According to the surgeon, “the gel tumor is not a good thing, but it is also low- and high-level, and it is not as difficult to treat as it is, nor is it expected to be, and it needs further evaluation. Anyway, headaches are the most common symptoms of this tumor. I’m sorry.
It’s going to be surgery.
The brain is opened, the pathology of the pathology is identified, the molecular pathology is diagnosed, the nature and level of tumour is determined and the corresponding treatment is developed.
At the same time, surgery can mitigate the osmosis effect, significantly reduce headaches and slow tumour growth.
“Does it open? “The patient is scared this time. He didn’t think he’d get to the cranial surgery.
A man’s skull is opened. Is that all right?
“So far, this is the only way. The surgeon said:
If it’s a low-grade star cell tumor, a lot of people can live well. In the case of high-level star cell tumours, the tumors are growing rapidly, the treatment is poor and the prognosis is poor.
The patient was 10 years old at night.
“So let’s do the surgery. I’m sorry.
I went to see him later, and he told me that I was thinking about my family and my children and that my parents were old and couldn’t just give up. It’s a problem, but it has to be done.
The pre-surgery check-ups were completed and the patient was given a chest CT, and an unexpected discovery was not expected.
The chest CT saw a 1 cm round swollen in the lower left lung and found a major lymphoma knot.
What’s this?
The video doctor gave their opinion that the pulmonary lump looked like cancer, lung cancer.
This is getting complicated.
The neurosurgeon talked to the chest surgeon, the video surgeon, and I was there.
And what happened was that, in the end, the idea was that there was lung cancer and then it was transferred to the brain, called lung cancer brain transfer.
It doesn’t look like a original gelatinoma, but it’s the lung cancer that’s moving around.
This reverses the previous diagnosis.
The patient’s heart is about eight times, how he wants it to be a dream.
Families are starting to think our hospital is not credible anymore.
“It starts with a brain infarction, then with a cerebral gel tumor, now with a lung cancer.
“What does that mean, which is right, which is wrong, and which is not clear?
“Is this how you guess patients? I’m sorry.
We actually feel guilty about misdiagnosis, but, after all, the complexity of the situation is such that few people can estimate from the outset that a clear diagnosis can be made.
So we talked to the patient’s family.
“Well, let’s get you to a higher-level hospital, and you take the film to the professor and let them see if it’s that. You can contact the outside professor yourself. I’m sorry.
That’s the family.
The family ran away for a few days and ran away from several hospitals, where they said it was intracranial tumours, which were the most likely to be lung cancer.
“It’s a late cancer,” a professor said the last thing his family wanted to hear. “When the tumor is transferred, it’s late. I’m sorry.
The family almost collapsed.
Go back to our hospital, the bedkeeper and his family to discuss next steps.
The patient’s brother came, and his financial situation was better than that of his brother, who said he could help cover the costs.
But the family’s final opinion was to evacuate our hospital and move to a higher hospital.
The hospitals that made the wrong diagnosis two times in a row had a reliable level of medical care and had a question mark in their hearts. We also understand.
It is also the decision of the patient and his/her family to keep him/her there.
It was unexpected that, on the day of the transfer, the patient was in another condition.
And it’s life-threatening.
The patient first said that he had severe headaches, that he was dying, that he was in a coma, and that he was breathing abnormally.
This is the most critical situation, and the patient may be dying soon.
We’re nervous too.
It is likely that new brain haemorrhagic infarction, or other tumour-related cases, will not progress so quickly.
The doctor strongly requested that a head CT be pushed immediately and that the situation be promptly known and pushed into the operating room.
The family of God is helpless.
The director also arrived and strongly requested a CT and then decided whether to go to the operating table.
And he said to his family, “There will be no more delay. Whoever hesitates at this point is the killer. But the ugly thing is that if the patient dies on the operating table, we can’t blame him. Everyone’s willing to take the risk. He’s got a chance. I’m sorry.
The family bit their teeth and agreed.
It took too long to wait, and the C.T. just took a few minutes to get out.
CT shows that the oedema on the left side of the small hemisphere has become more visible and that the quadral is pressured to deform.
This is a very urgent situation. You have to operate, you have to cut the pressure, or you’ll have a brain acne and a severe respiratory effect.
The family signed and sent for surgery.
Post-emergency cranial detection.
Shadowless lights on.
The surgeon opened the patient ‘ s skull, cut open the cortex, and on arrival saw the flow of yellow and white sept liquids and a clear odour.
Everyone’s here.
This is not a brain tumor.
It’s not like it’s a brain attack.
This is a brain attack!
The surgeon’s back was cold and sweaty.
Three or four diagnosiss were wrong, and it wasn’t until the moment that the head was opened that it was a cerebral ache, a bacterial infection, so many septs.
Following the flow of clean sept, some sept and sept tissue pathological examinations were carried out, hydrogen peroxide and Quincin solutions washed the sept, and the cascading tube was kept.
Finish the operation.
Upon removal, the surgeon’s clothes were all wet and the tinkled bed doctor was ordered to use the best antibiotics and anaerobic antibiotics combined.
The smell of this stench is that anaerobics is highly likely to be infected and must be covered.
It is not reasonable to understand why a person with such a severe cerebral abscess does not have a fever and the infection indicators of repeated reviews are not high.
If it hadn’t opened the stove and had seen the sap, no one would have dared to call it a sept.
“It’s not a typical brain abscess, it’s a hidden brain abscess, it’s an anomalous. There’s always a small number of such cases, which may be more limited, not bleeding, not causing a whole body reaction, so there’s no fever and high infection rates. I’m sorry.
It’s a mistake, but it’s a good thing.
Brain abscess is better than brain infarction, better than cerebral geloma, let alone lung cancer.
Brain abscess is treatable and curable.
It’s just an abscess. It’s like a skin abscess, a pulmonary abscess. It’s just different in this long part.
When the doctor told the family of the news, the family cried so badly that it understood everything. It’s good to agree with the Director’s insistence, and it’s good to not give up.
The day after the surgery, when I went to see him, he was awake.
The tissue results sent to the lab are back. It’s actually anaerobic. No wonder the pus stinks.
The patient stayed for about a month, gradually recovering in all areas, generally in good condition.
The pulmonary CT was subsequently reviewed, and the small swollen is still there, and it appears to have nothing to do with the cerebral abscess. It may be an ordinary pulmonary knot.
Mr. Liu is a miserable patient.
Turning around, from headaches to suspected brain infarction several times, MRI, believing that it was a brain tumor, then thought that it was a lung cancer brain transfer, the last operation knew it was a cerebral abscess, and it was a real first step to the bottom of Hell Valley, and then to death and then to death, with a feeling of phoenix.
The case also tells us that the situation is sometimes complex, and that doctors are not able to understand the whole of the facts at first, and they are not necessarily able to make accurate judgements, which is related to their experience and is more related to the complexity of the situation.
I wish him well.
Cope class.
What’s the reason for the headache?
Any symptoms may involve a lot of disease and headaches.
Many diseases have headaches, so headaches are really a symptom without any specificity.
Headaches can be caused by a cerebral disease, headaches can be caused by an external disease, and headaches can be caused by some systemic diseases.
For example, a brain-brain condition can give rise to brain-brain infections (meningitis, encephalitis, anesthesia), cerebrovascular diseases (e.g. brain haemorrhage, cerebral embolism, hypertension, etc.), brain-brain tumours can also cause headaches, skull traumas, migraine headaches, bush headaches, etc.
Out-of-circle diseases, such as cervical vertebrates, trident neuropsy, eye, nose, ear, teeth cause headaches, common whole-body infections such as influenza, typhoid, pneumonia, etc.
Thus, the headaches that patients see are merely a headache, and there is much to be considered by a doctor when he sees the headaches, which require a synthesis of the patient ‘ s medical history, other symptoms, and the necessary auxiliary examinations in order to give an overview of what causes the headaches.
Under what circumstances, a headache needs a medical treatment?
In general, chronic headaches do not require acute illness.
Common flu and flu also have headaches, but they are generally not severe, and they can buy themselves some anti-inflammatory painkillers, such as brofen and acetaminophenol.
However, if there was a sudden and severe headache in the short term, it was necessary to go to the hospital, probably with haemorrhage from the submonal cavity or from the brain.
Or a chronic headache, but it’s getting stronger, with vomiting, etc., and it’s going to the hospital because it’s probably a skull tumor.
What’s the problem with the ache?
In short, pathogen microorganisms (bacteria, fungi, etc.) break through the blood-brain barrier, enter the brain-induced infections, and are septic infections, which are not absorbed in time but are limited to each other, create cerebral abscesses and have tissue failure.
This is a more serious disease, and life risks if it is not treated in a timely manner.
The common symptoms of cerebral abscess are headaches, heat, appetite, etc., and then brain abscess can be manifested in different ways in different brain tissues, such as paralysis, sensory disorders, personality changes, co-benefit disorders, etc.
Once these symptoms have occurred, medical treatment should be done as soon as possible. Register number: YX115kdMamm
I don’t know.
Keep your eyes on the road.
