Xiao Ke was in Grade 3 of a senior school in north of Guangdong Province, who was full of dreams. But the girl who was excellent on study had an untold problem: 6 years ago, she started to twitch for not any reasons from time to time, when she broke out, she was always unconscious, her eyes turned over and her lip turned purple with foaming, the situation would last several minutes. Taking medicine to control the disease was not effective. Near the college entrance examination, for her tight study, her disease got worse and the times to break out increased obviously. In December of 2010, she came to GuangDong 999 Brain Hospital for comprehensive checking. She was found cavernoma in the right top of central area by MRI. She was diagnosed as right top cavernoma and epilepsy.
However, the position of the angioma was near gyrus centralis posterior, that is, it was the “headquarters” to be responsible for body feeling. If the angioma was cut off directly through cortex operation, it might damage the cortex or nerve fibers of important function section and led to numb after operation, even implicated gyrus centrilis anterior to cause hemiplegia. In addition, the discharge section of Xiao Ke’s epilepsy was also near pathological process, if she was only cut off angioma or not, well, it might be hard to control epilepsy after operation.
After assessing the risk of operation fully and making the operation plan, the doctors carried out operation for her. They carried out fenestration operation first, during the time, the doctors avoided function cortex of gyrus centralis posterior, with the guidance of navigation, they found the angioma about 8 millimeters soon. Under the microscope, they removed pathological process easily. After that, they found discharge around angioma cortex under the electroencephalogram. Therefore, they cut off these discharge cortexes, the cortex of central section was not cut off but was given thermal operation to ensure function safety.
Xiao Ke recovered smoothly after operation, her left body had not any abnormalities. She started to normal learning shortly after returning home. She didn’t twitch any more after operation, when she reviewed after 3 months, the happy girl said to doctors: she experienced medical magic personally through a few months. The nursing persons lit her hope again. So, she made up her mind to learn medicine and be a nursing worker to dissolve pain for common people! Xiao Ke also told us she wanted to go to Guangzhou Medical College.
【expert】
Guo Qiang Director of Epilepsy Treatment Center says: the common dangers of cavernoma are epilepsy and bleeding and should be dealt with as early as possible. It is not hard to operate on the angioma located in surface. But the operation on function section or deep position will have some risks to damage nerve function. It requires exact location of navigation during the operation and excellent micro operation skills.
