315 Strange epilepsy
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Although there are also CT patients who are shunted from the outpatient clinic, there are not so many at present, and the girl's CT is done very quickly. The film has not come out yet, and Liu Banxia has been able to see it here.
Judging by his medical knowledge, everything in the brain is normal, and there is no hemorrhage, edema, or tumors.
"There should be no problem with your brain for the time being, let's do an EEG and try to do it for a longer time, and record it well. Liu Banxia said.
"I'm afraid I'll sleep if I'm lying flat. The patient said.
"Okay, as long as the instrument is connected. Liu Banxia smiled and nodded.
"Are you worried that you will have a headache after falling asleep? If only I had to say that, we can also catch the signal in time. ”
"Usually it doesn't hurt in the afternoon, but I'm afraid it's too embarrassing to fall asleep. How can you say that you came to the hospital to see a doctor and then slept here. The patient shook his head.
"It's okay, you can sleep if you want. Dr. Liang, let's help glue the electrodes. Liu Banxia said.
"Actually, you are already very good today, some people are really resistant to instrument examinations, and always feel that those of us who are doctors are just to make more money by examining patients. ”
"Sometimes, we really can't help it. We are not immortals, and some diseases are in the body, so we can see the root ...... with our eyes."
"Doctor, what did you just say?" Liu Banxia was interrupted by a patient in the middle of his speech.
"Uh...... , I said that we are not immortals. Liu Banxia was stunned for a moment.
"Where will there be immortals? "The patients were happy.
"Didn't you hear what we said just now?" asked Liu Banxia very seriously.
"yes, I didn't hear you. The patient said.
"Where did you start not hearing clearly?" asked Liu Banxia.
"When you started sticking these things to me? I don't remember exactly. The patient thought for a moment and said. It seems that something is wrong.
"Hmm...... , is it the kind that your ears can't hear?" Liu Banxia asked after thinking for a while.
"No, it just seems like I didn't hear it very suddenly, and I can't describe it well. The patient thought about it.
"Okay, let's do an EEG first. A few of you will chat with you if you are okay and see if there will be any situations where you can't be heard. Liu Banxia said.
This is a new symptom, and it may be related to the symptoms that cause the patient's headache, not only because of the ear.
Liu Banxia's original intention was to chat with the patient through Liang Xiaolin, and he was observing and seeing the patient's situation. But he found that in the skill of chatting, Liang Xiaolin and they still need to exercise.
Let's chat, you have to talk seriously. Just like Liang Xiaolin and them, this is an awkward chat. East sentence, West sentence, there is no interest in chatting at all.
"What does your company do?" Liu Banxia took over the task of chatting.
"We are an agent for children's products, and many milk powder and baby products on e-commerce are supplied by our company. The patient said.
"If you want to buy milk powder or supplies for your child, I can help you, although there may not be a big discount when there is an e-commerce promotion, but the price will be lower than usual. ”
"I remember this later, I don't even have a girlfriend now, I really don't need it. Liu Banxia said with a smile.
"How is it possible, aren't doctors all good at finding girlfriends? The working environment is good, and the income is very high. And if you have a doctor at home, you can spend less money when you get sick in the future, and you can get better care. The patient said.
"A colleague of mine gave birth to a child two months ago, and I didn't make an appointment at the maternity and child hospital of your Binhai Medical College. The last person to look for, go to the city courtyard. ”
"That's all appearances, you just look at them, they're actually about the same age as you, and they haven't graduated yet. Liu Banxia said.
"Unless they are not serious and find a partner when they are in school, they will have to have a flash marriage after graduation. I'm willing to bet that in another three or four years, they won't be able to get married. ”
"Teacher Liu, why can't we get married, our requirements won't be very high. Xu Yinuo said unconvinced.
"Whose boyfriend wants to find someone who often works overtime and always can't look at people? The medical skills are mediocre, and if they are a little better, they will be called over when they are resting. Liu Banxia said with a smile.
"You don't have to go through the training anymore, but you need to work extra hard during your residency. No one else knows the working hours of the hospital, but you still don't know?"
"Teacher Liu, why can't I get married?" Xu Yinuo was a little worried.
"You're so beautiful, what's there to worry about, you'll always meet the right person, don't listen to your teacher scare you. "The patients were happy.
"Girls don't worry about getting married, the key is to look at what the expectations are in their hearts. I...... Don't worry if you're not pretty. Why are you looking at me like that?"
"Did you have any special feelings just now?" asked Liu Banxia.
The patient shook his head, puzzled, "No, we're not talking." ”
"We were chatting just now, but you lost your mind for about 3 seconds. It can be understood as epilepsy, but it happens for a short time, and then you recover. Liu Banxia said.
"It's not that you didn't hear what we said clearly, but you had this kind of epilepsy for a short time, so you can't hear it, not because of your ears. ”
"Doctor Liang, hurry up and call me Zhang Xiao from the outside and Peng Bo from the god. From the electroencephalogram, it was already neurological that there was already a neurological injury, and Qingkova took blood, did a full set of blood tests and urine tests. Make a promise, even the ECG monitor. ”
Hearing Liu Banxia's instructions, everyone acted together.
They also saw the patient's reaction just now, and if they weren't studying medicine, they would definitely think it was weird. As the patient spoke, his eyes rolled upwards before returning to normal.
"Let's take a look at the electroencephalogram first, I've already taken blood for testing. History of headaches for nearly three years, transient seizures twice, about 3-5 seconds each. Liu Banxia handed the ripped EEG to Zhang Xiao and Peng Bo, who rushed over.
"There's already a neuropathic injury, has a brain CT been done?" Bloomberg asked after one look.
"That's it, I'll call it up for you. After Liu Banxia finished speaking, he started to operate.
"The patient's headache is usually episodic, and he wakes up every morning with a severe headache. Liu Banxia continued.
"The initial diagnosis is that it is brain damage caused by epilepsy, and my personal recommendation is to perform a drug-induced coma. Bloomberg said after reading it.
Although there is no sign on the brain CT scan, every time she has a seizure, she will have different degrees of brain damage. If a certain threshold is reached, not only will the patient be more painful, but it will also cause irreversible neurological damage. ”
"At that point, it is more likely to cause organic lesions that are life-threatening. After drug-induced coma, it can reduce the frequency of seizures and give us enough time to find out the cause of the patient. ”
"Doctor, can you tell me a little bit more clearly?" the patient began.
"In other words, your headache is a side effect of epilepsy caused by a certain disease. Liu Banxia said.
"Now this epilepsy has taken a toll on your brain, and every time you do it, it's a little bit of a small injury. Now the situation is already very serious, after all, the headache has been too long, and I don't know how many times I have had it. ”
"Also, you can contact your family now. If you don't induce a coma, you can't tell which seizure can threaten your life. In the process of inducing coma, there are medical procedures that require the authorization of your immediate family. ”
"Doctor, this ...... Is this brain cancer?" the patient asked in a panic.
Liu Banxia shook his head, "We didn't find any organic changes in the brain, so we need to carefully find the cause." There are many factors that can cause epilepsy, but it's not often that epilepsy causes damage to the brain. ”
"The reason why you didn't check it out because of your headache in the past. Normal people with epilepsy will have spasms, and your seizures are short and easy to ignore. ”
"This is the consensus of our three doctors, and the sooner you decide, the better. Drug-induced coma can give your brain some protection. ”
"Okay, I'll contact my family. The patient hurriedly said.
"Second brother, what do you think is the cause?" asked Liu Banxia after coming outside.
"I can't tell, let's wait a little while and see the results of the blood test. Did you?" asked Bloomberg.
"It's done, and I'll be out in a little while. Liu Banxia said.
"Judging from the current situation, it has nothing to do with the organic lesions of the brain, and it is not caused by this reason. It's been nearly three years, and if there is, the CT can't be scanned. Zhang Xiao said.
"It's up to the two of you, if you find any structural abnormalities in your brain, I can also help you refer to the brain surgery plan. What's wrong with the wound on the patient's head?"
Liu Banxia grinned bitterly, "Brother Zhang reminded me that the wound on her head should also be caused by a short-term seizure and a fall and bruising. ”
That means she's had three seizures in a short period of time. The frequency of seizures is very high, how many times do you have to accumulate in 24 hours?"
"It's because the seizures are so frequent that they cause damage to her brain. But the most important thing now is to find out the cause of this epilepsy, investigate step by step, and rule it out little by little. Bloomberg said.
It was the first time he had encountered such a strange epilepsy condition, and although it didn't seem to have much to do with him as a neurologist at first, the patient's condition also aroused his strong interest.
I really haven't seen such a case, that is, Liu Banxia was careful enough to find out. For nearly three years, the family she lived with didn't find out.