Saving an old woman with epilepsy due to a large brain tumor compressing her nerves

Here, she was diagnosed with epilepsy and a right frontal cyst. After 3 days of treatment, her condition did not improve, so her family asked for her to be discharged from the hospital and then taken to Gia An 115 Hospital.

On August 12, Master - Doctor Phung Dang Khoa (Surgery Department, Gia An 115 Hospital) said that the patient was admitted to the emergency room in a lethargic state and was slow to follow medical orders. The MRI results showed that the patient had a large meningeal tumor (63x45x52mm) compressing the frontal horn of the right ventricle. The tumor compressing the nerves was also the cause of partial epilepsy symptoms such as convulsions of both hands and eye rolling in the patient.

4 hours of "brain-wrenching" surgery to save the old lady

According to Dr. Khoa, this condition requires immediate surgery. However, elderly patients with many underlying diseases such as high blood pressure, type 2 diabetes, chronic kidney failure, Alzheimer's dementia, etc. This is a big challenge for the surgery, both during and after surgery, with risks such as prolonged mechanical ventilation, pneumonia, difficulty weaning off the ventilator, high cardiovascular risk, etc.

Cứu cụ bà bị động kinh do khối u não lớn chèn ép thần kinh - Ảnh 1. — Tumor location according to MRI results

After a multidisciplinary consultation, the doctors decided to perform brain tumor surgery by opening the skull. The patient was given the necessary paraclinical tests and special care in the ICU to best prepare for the surgery.

The surgical team opened the skull to separate and remove the tumor for the patient. When opening the skull, there was yellow fluid flowing from the right frontal cyst with strong pressure. The frontal tumor had a structure similar to an astrocytoma, the differential diagnosis was that it was a meningioma with many new blood vessels, the tumor was closely attached to the dura mater and cerebral cortex. The doctors carefully removed each part of the entire tumor.

The entire surgery lasted more than 4 hours with the team's high concentration. After the successful surgery, the patient was taken care of in the intensive care unit. The patient recovered very quickly after the surgery, had good consciousness and could move after only 3 days. She continued to receive rehabilitation treatment in the Department of Surgery.

After that, with good recovery and stable indicators, the patient was discharged from the hospital to the joy of the whole family.

Cứu cụ bà bị động kinh do khối u não lớn chèn ép thần kinh - Ảnh 2. — The team during the brain tumor surgery for the old lady

Be careful with symptoms of headache, nausea, involuntary convulsions

Dr. Khoa said that brain tumors appear when abnormal cells form inside the brain. Brain tumors can be benign or malignant with many different manifestations depending on the location, size, histopathological characteristics of the tumor as well as the age of the patient.

However, some common symptoms include persistent headaches, especially in the early morning or at midnight, vomiting and nausea, decreased vision, loss of behavioral control such as staggering or falling, prolonged stress, feeling of weakness and numbness in the hands and feet, seizures, involuntary convulsions, etc. These symptoms are often easily confused with many other diseases.

Therefore, Dr. Khoa recommends that when there are health warning symptoms, patients should go to medical facilities for doctors to examine and prescribe necessary paraclinical tests, thereby correctly detecting the disease and having effective treatment methods, avoiding self-medication to delay treatment.

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