Pain on the face, tinnitus and deafness, and numbness ... Pay attention to this tumor!

Author:Second Hospital of Zhejiang Un Time:2022.06.27

In life, people often have back pain due to long -term desk work. They do not go to the doctor, but choose to post plasters and massage; some people have an unable to control the blink of an eye, or they have tingling from time to time, but they want to bear to bear it, but they want to endure One forgiveness is waiting for it ... Patience these symptoms are not only painful, but also may delay the timing of treatment, leading to deterioration of the condition.

In fact, these diseases can be found in neurosurgeons.

The pain on the young girl's face was severe and the "pearl" had a "pearl"

"I ca n’t eat it in pain, and I lost more than ten pounds." The 24 -year -old girl (pseudonym) was already when you were youthful, but he was tortured by a disease that he could not eat.

Starting two years ago, the girl's left face and throat pain occurred from time to time, and acupuncture and electro -strikes appeared for half a minute, and they had to attack more than 10 times a day. Later, the frequency and time of pain were more and more frequent. It was more serious when brushing, speaking, and eating. It was also accompanied by tinnitus. In the past year, it was impossible to eat when facial pain.

Eventually, he found the outpatient clinic of Yan Feng, deputy chief physician of the neurosurgery of the Second Hospital of Zhejiang University.

After Dr. Yan Feng diagnosed the girl Wang, he asked the medical history in detail, and carefully checked her CT and magnetic resonance inspection images, and found that her intracranium had a gallbladder similar to "pearl". The tumor was very large. Wind trigeminal nerves, facial nerves, listening nerves, and tongue and pharyngeal nerves. Pain is because this "pearl" has the same gallbal tumor to compress the trigeminal nerve.

What is trigeminal neuralgia?

This is a severe pain of repeated attacks in the face. It often occurs suddenly when eating and opening my mouth and talking. The pain of pain is distributed in the face and facial, including the upper and lower jaws. Many patients with trigeminal nerve pain are difficult to chew and eat and communicate. They can't eat enough during the day and can't sleep at night.

After thorough planning before surgery, Dr. Yan Feng used minimally invasive microscopic technology, combined with cranial neuroelectronics monitoring equipment, and performed the resection of the craniotomy in the microscope under the microscope. Essence

After the anesthesia awakened at the end of the operation, the severe pain that had troubled Wang Wang's many years completely disappeared. From the next day, she can eat normally without relying on analgesic drugs. Essence

What is gallstinoma?

Cranary cholty tumor is a slow -growing benign tumor that occurs in the sub -absorbent area of ​​the skull bottom. It comes from the human body's embryo epithelial cells, which is composed of horny and cholesterol crystals wrapped in fiber connective tissue. Its appearance is as white and shiny as pearls, so it is also called "the most beautiful tumor".

What are the symptoms of gallbladin?

Bilinoma is presented in the bridge cerebellum area, the saddle and the saddle, and the bottom of the skull nest. Because these areas are densely stimulated by the cranial nerve that regulate the sensory sensation, the skull nerve will be stimulated by the compression of the gallstinoma. The corresponding symptoms appear:

⑴ When the trigeminal nerves are oppressed, the severe pain of facial acupuncture and electrical shocking will be triggered. Many patients can't eat meals during the day, and they can't sleep at night, just like the girl Wang mentioned in this article;

Bilinoma near the saddle area often compresses nearby optic nerves, leading to vision loss and vision defect;

(3) Patients with compressed facial nerve will have frequent eyelids and corners of the eyes, which will cause difficulty in opening their eyes and seriously affect life and work;

的 Among the patients who are affected by nerves, they often manifest as hearing loss and tinnitus.

In addition, the larger cholecosky tumor can also compress the brain stem area, causing numbness, pain, fatigue, and even cure hypertension symptoms such as stagnant water.

Dr. Yan Feng reminded that if there is no clear cause, such as trauma, if the above symptoms occur, you need to consider the possibility of tumor and seek medical treatment in time.

The 50 -year -old man's numbness on the left half is a scourge of tumor

Also came to a neurosurgery clinic, and Mr. Zhang, 50. Half a year ago, Mr. Zhang (pseudonym) always felt that the left thumb and index finger were numb. After surgery in other hospitals, the symptoms were not eased, and the range of numbness on the left body was still expanding: the left legs and the left waist parts appeared separately. It is numb, uncomfortable, walking like stepping on cotton.

As the numbness worsened, Uncle Zhang was a little scared. So he came to the neurosurgery clinic of the Second Hospital of Zhejiang University and found the chief physician of Zhu Yongjian.

After inspection, the chief physician of Zhu Yongjian judged that Uncle Zhang's neck marrow was likely to grow blood vessels.

What is blood vessel motherocytoma

Berobuoma is a benign tumor that is highly differentiated by vascular differentiation caused by brain nerves and spinal nerves. Most vascular maternal cytoma is generated by a single lesion.

Almost all lesions have the lower lower part of the brain, the so -called brain. The main function of the cerebellum in the brain is balance and coordination.

With the growth of vascular female celloma, increasingly increasing tumors will compress the brain and cause some neurological symptoms, such as headache, physical weakness, sensory loss, balance and coordination.

Dr. Zhu Yongjian performed a cervical selection resection for Uncle Zhang. The operation was smooth. This numbness that had troubled Uncle Zhang for half a year was finally resolved.

The essence of disc herniation is the essence of spinal nerve pressure

Dr. Zhu Yongjian said that there are many spinal nerve compression disorder caused by various clinical causes, including lumbar disc herniation that we often encounter, which can manifest as low back pain in fixed parts.Traditional surgery generally adopts lumbar intervertebral fusion fixing, while the current leather spine endoscopy system has a working channel that can be entered alternately for various endoscopic surgical equipment.It has the advantages of clear surgery, small trauma, and near -view of the magnification.Similarly, cervical disc herniation can also be treated with endoscopic surgery.

Dr. Zhu Yongjian reminded that the response to feel numb and pain in the body was involved as soon as possible. Look at the neurosurgery clinic early. Advanced endoscopic and precise navigation positioning methods can meet more and more patient needs.For example, radiation navigation and machine -assisted surgery are one of the research directions.

Text | Qianjiang Metropolis Channel Gao Yuefan, neurosurgery strict front

Review | Chen Guozhong, Chen Gao

Responsible editor | Lu Qing

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