Chapter Thirty-Three: Cushing, but Not Cushing
Sun Lien and Luo Ge's excitement and happiness only lasted for a second.
"My God......" Brother Luo was stunned as he looked at the images that kept appearing on the screen, "what is this?"
On the MRI, many white spheres appeared. At a rough count, there must be at least a dozen.
"It can't be a brain tumor. Sun Lien was also frightened by the sight in front of him, a large number of small white balls scattered throughout Chen Wen's brain. And the small white ball closest to the pituitary gland has compressed Chen Wen's pituitary gland. "This ...... Sun Lien "this" for a long time, but he didn't think of what kind of disease could cause such a large number of unknown tissues to be generated. He swallowed, "Brother Luo, you continue to scan her, this time to do a whole brain imaging, I will ask Director Liu and them to come over." ”
Pushing open the door of the MRI monitoring room, Sun Lien rushed directly to the rescue room.
"Swept things out?" Director Liu raised his eyebrows in surprise, "You really have two brushes." ”
"It's not...... Not an ordinary tumor. Sun Lien gasped, "Brother Luo's side is still out of the film, Director Liu, hurry up and follow me to see ......"
"Huh?" A surprised muttering came from outside the door, Sun Lien turned his head to look, only to find that Director Wang, who had just drunk two large bowls of mutton vermicelli soup at noon, was standing at the door, "What are you doing? Why are you panicking like this?"
"Director Wang!" Sun Lien seemed to have seen a savior, "I just gave an MRI to that little girl with a heart attack......"
After listening to Sun Lien's discovery, Director Wang also looked incredulous, "How many little white balls are there?"
"At least ten. Probably more. The sweat on Sun Lien's head was as if someone had turned on a faucet, and almost a few streams flowed down his cheeks. "There's one that has pressed down on the pituitary gland of her and there's no problem with Cushing's syndrome, but her current problem is much more serious than Cushing's syndrome. ”
"Let's go, let's see. The mobility of the deputy director of the emergency department is naturally not covered, Director Liu waved his hand and walked towards the monitoring room first.
"Hey, Dean Liu?" Wang Jianpei followed behind Liu Tangchun, took out his mobile phone and dialed a number. "I saw a very interesting case here in Lao Liu, I guess you might be interested in coming and seeing......"
"It's certainly not a tumor. Liu Tangchun took off his glasses and observed the light spots on the monitoring screen, "The boundary is clear, and there are traces of calcification......
"Where are they all?" Liu Tangchun was studying imaging, and an old man about Liu Tangchun's age suddenly walked in outside the door. It's just that the hairstyle is very neatly combed, and the white coat on the body looks as if it has just been ironed, and there is not even a trace of wrinkles. His voice was loud and reassuring. "Director Wang, what kind of illness are you?"
"I'm not sick. Director Wang pointed to the image on the screen, "As for what kind of disease this little girl has, I still want to ask you." ”
The person who pushed the door in was Professor Liu Pingchuan, the vice president and director of neurosurgery of the Fourth Central Hospital.
Sun Lien has met Vice President Liu. But he just nodded as a greeting, and all the other attention was on the image that continued to be refreshed.
"Altogether...... There are twenty-seven. Two or three minutes later, Sun Lien put down the point machine in his hand. "There were two unidentified tissue hyperplasia less than a centimeter from the brainstem, and it is certain that one of them had pressed on the pituitary gland, which was about 1.5 millimeters off the midline and slightly curved. ”
The brain tissue of normal people is somewhat like tofu, although the appearance is a little uneven, but the hemispheres of the brain are basically complete tissues except for the ventricles and blood vessels inside. And Chen Wen's brain is more like a piece of frozen tofu full of holes, I don't know why, I don't know when, twenty-seven peas were embedded in it.
These balls vary in size, with the largest one being about five millimeters in diameter. The other spheres were much smaller — the one that pressed against Chen's pituitary gland was only about three millimeters in diameter.
If you have an organic problem with the brain, you can't go wrong with asking a neurosurgeon.
"Call the Centers for Disease Control. Vice President Liu was silent for a long time and then suddenly said, "It may be cerebral hydatid." Ask your family if you have taken your children to the western pastoral area, or if you have a dog at home. Preparing for surgery, she has Cushing's disease?"
Sun Lien nodded hurriedly, "Yes." ”
"For a biopsy, it was taken from the tissue that had squeezed her pituitary gland. ”
Cerebral hydatids, as interpreted literally. This strange condition occurs when the parasite appears in the brain tissue and is encased.
The parasites that live in the patient's intestine begin to ovulate as they mature, and some of the eggs happen to pass through the wall of her intestines and enter her brain through the blood system. And it's parasitic in the brain.
The environment of the brain is very different from that of the gut, and in order to protect themselves, parasite larvae try to create a membrane around their body and fill it with fluid – which is what tiny spheres that have the same density as cerebrospinal fluid on MRI are the real face.
"Her father ......," Shen Qingmei covered his face and said sullenly after listening to the doctor's diagnosis, "I bought a Tibetan mastiff from the northwest pastoral area three years ago. has been kept in the villa, and Xiaowen has a very good relationship with it. ”
"Canines are only the ultimate host of Echinococcus granulosus. "Your daughter may have been playing with her dog and came into contact with dog feces that contained insect eggs. And then infected ......"
"It doesn't matter anymore. Shen Qingmei controlled his emotions, "How to treat this?"
"Surgery is required. Sun Lien took out a notice, "Although the presence of some suspected vesicles can be confirmed through MRI, we can't determine what it is before the biopsy." We are going to test and treat Chen Wen. ”
"We will insert a needle through Chen's nasal cavity. Then, with the help of MRI data and a surgical navigator, it went into her skull and found the vesicle that was compressing her pituitary gland. ”
Sun Lien explained the operation process to Shen Qingmei.
"Once the vesicles are found, we remove the fluid from them and then use an endoscope to remove the remaining vesicles. In this way, the squeezing of the pituitary gland part of Chen Wen can be directly relieved, and a vesicle sample can be obtained. By the time we have sent the sample to the CDC, we will be able to confirm what worms are in her brain in about a week. ”
"The condition that causes her to gain weight is called Cushing's syndrome, but it's a parasite in her brain that causes Cushing's syndrome. ”