"What is this?"

Seeing that the girl was silent, she just pointed to her mouth very anxiously, and then shook her head, Zhao Sheng was a little difficult to judge for a while.

Is it because of oral diseases that you can't open your mouth to speak?

Or was you born unable to speak, and then got sick?

Looking at Zhao Sheng, who can be said to be very experienced, he is a little uncertain at this time.

"Doctor, Shanshan suddenly can't speak."

Seeing Zhao Sheng's confused look, the old lady in the old couple spoke.

Looking at this old couple, they are also in their sixties, this girl is only in her twenties, and she is also an old woman.

When you get a woman when you are old, you are very favored.

"Suddenly can't speak? Since when? ”

Zhao Sheng was a little surprised and continued to ask.

Suddenly unable to speak, also known as aphasia, this symptom is divided into two conditions: true aphasia and "false" aphasia.

True aphasia such as acute cerebrovascular disease, cerebral infarction, cerebral hemorrhage, craniocerebral trauma, cranial tumors and other diseases, if the language center is affected, this sudden aphasia can appear, and other neurological dysfunction manifestations, such as crooked corners of the mouth, limb weakness, consciousness disorders, etc.

The second type is "pseudo" aphasia, which mainly refers to the symptoms of not having problems with the organs of pronunciation, but not being able to speak, which is mainly common in some psychological problems such as hysterical aphasia.

However, seeing that this girl was so young and looked only a little pale, Zhao Sheng was more inclined to the sudden aphasia caused by psychological problems.

"Doctor, just now, when Shanshan was in kindergarten class, he suddenly had a headache, and then he couldn't speak."

The old lady continued.

Before retirement, both husband and wife were teachers, so the old couple was also very supportive of their daughter's choice of kindergarten teacher.

What's more, her daughter entered the famous experimental kindergarten of the Chinese Normal University.

But just now, the director of the kindergarten suddenly called the old couple and asked them to come to the kindergarten.

After going to the kindergarten, the old couple found that they were the most vivid and interesting in the kindergarten to teach to the children, and the daughter who was also the best on weekdays, but they couldn't speak!

This is a big deal for the old couple, no, they immediately brought their daughter to the hospital.

"Have you ever had a headache before?"

Zhao Sheng thought for a while and asked.

If it is a brain tumor or aphasia caused by a local functional disorder caused by cerebral vasculitis, then there will be headache and dizziness before.

"Nope."

The old lady said with great certainty.

She usually knows her daughter's situation well, so she can answer so quickly and so surely.

The temperament kindergarten girl also shook her head, she was the most able to speak on weekdays, but she couldn't even say a word at the moment, this feeling was simply too uncomfortable.

This feeling of wanting to say but not being able to say it is like pressing the pause button and the world stands still.

"Have you been injured lately? Especially the head? ”

Zhao Sheng thought for a moment and asked again.

"No, Shanshan has always been fine, and there are no injuries."

The old lady continued.

The girl also took out her mobile phone and typed two big words with her mobile phone [no]

Seeing that the girl can understand his speech and can type clearly with her mobile phone, this shows that the girl's cognition and comprehension of words are normal, and she can understand but cannot speak, which belongs to motor aphasia.

Motor aphasia is caused by damage to the language functional areas of the cerebral cortex, such as the frontal and temporal lobes, resulting in motor aphasia, that is, the ability to understand and understand others, but it is difficult to speak on their own.

There is no history of head trauma and no history of headaches, which can rule out sequelae of head injury and headaches due to cerebrovascular disease.

Then, the only thing left is the brain tumor that is the most likely.

Thinking of this, Zhao Sheng asked the girl and the old couple again, "Have you suffered any major mental stimulation events recently?" Is it the kind that happened suddenly and can't be accepted? ”

The old couple hurriedly shook their heads.

The girl also continued to use her mobile phone to type out a few big words [Doctor, I'm fine!] No lovelorn and no madness! 】

Seeing the words typed by the girl with her mobile phone, Zhao Sheng also smiled slightly.

Well, you can also use your mobile phone to type like this, indicating that it is not aphasia caused by sudden psychological problems.

In many cases, sudden emotional and psychological stimulation is the kind of big ups and downs that happen, which will make people speechless all of a sudden, and when the emotions calm down, the language function will also be restored.

"Let's do an MRI of the brain first."

Zhao Sheng thought for a while and said.

In the current situation, the sequelae of head injury, cerebrovascular diseases, and headaches and aphasia caused by major psychological problems can basically be ruled out, so it is necessary to do an MRI of the brain to rule out brain tumors.

[Doctor, am I a brain tumor?] 】

When the girl heard that she was going to do an MRI of her brain, she immediately typed it to Zhao Sheng with her mobile phone.

A friend of hers had a headache and suddenly couldn't speak, so she went to the hospital to check that it was an advanced brain tumor, which stimulated her a lot.

Therefore, when she herself suddenly has a headache and can't speak, it is inevitable that she will suspect that she has a brain tumor.

A brain tumor, for a girl in her early twenties, is something that she has never thought about.

"Let's do a check first, I can't know for sure yet."

Zhao Sheng has been able to determine that the girl's brain is problematic, but what kind of problem it is, you must do an MRI to determine it.

The ability of his right hand can only be used for the detection and three-dimensional imaging of spatial structures, which determines whether there is a tumor in the brain and distinguishes brain tissue from brain tumors, but his right hand cannot reach such an extent for the time being.

Besides, even if one day with the improvement of his ability to the point where he can distinguish between tumor and brain tissue, can he put his right hand on the top of the patient's head and touch it, and then say to the patient, "You have a disease in the brain, no, there is a tumor in the brain?"

That's too lax!

No matter how experienced a normal human doctor is, he or she will not be able to touch the top of the patient's head to know the extent of the lesion in the patient's brain.

This is no longer a question of whether it is powerful or not, whether it is experienced or not, it is anti-common sense and anti-science.

"Shanshan, the doctor has said it, check it first."

"We're still so young, it won't be a brain tumor, no!"

The old lady comforted her daughter.

These words are comforting their daughter, and they are also comforting themselves.

Hearing the old mother's comfort, the girl calmed down a lot and nodded vigorously.

Next, Zhao Sheng prescribed a brain MRI examination for the girl, and the old couple accompanied the girl to do the examination.

(End of chapter)