Sun Lien and Brother Luo's excitement only lasted for a second.
"Oh my God..." Luo Ge was stunned as he looked at the images that continued to appear on the screen, "What the hell is this?"
On the MRI, many white balls appeared. A rough count showed that 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 were scattered throughout almost the entire brain of Chen Wen. The small white ball closest to the pituitary gland had already compressed Chen Wen's brain.
Pituitary gland. "This..." Sun Lien said this for a long time, but he still couldn't figure out what disease could cause such a large amount of unknown tissue to form. He swallowed and said, "Brother Luo, continue to scan her.
This time for whole-brain imaging, I will ask Director Liu and others to come over."
After pushing open the door of the MRI monitoring room, Sun Lien rushed directly to the emergency room.
"Did you sweep out something?" Director Liu raised his eyebrows in surprise, "You really have two brushes."
"It's not... it's not an ordinary tumor." Sun Lien gasped, "Brother Luo is still releasing films. Director Liu, hurry up and come with me to have a look..."
"Ah ha?" A surprised murmur came from outside the door. Sun Lien turned around and saw that Director Wang, who had just drank two large bowls of mutton vermicelli soup at noon, was standing at the door, "What are you doing? Why are you so panicked?
Like this?"
"Director Wang!" Sun Lien said as if he had seen a savior, "I just did an MRI on the little girl who had a heart attack..."
Director Wang also looked in disbelief after listening to Sun Lien explain his discovery, "How many little white balls are there?"
"At least ten. Possibly more." The sweat on Sun Lien's head felt like someone had turned on a faucet, and several streams were flowing down his cheeks. "One of them has pressed against her pituitary gland.
There is no problem with the diagnosis of Cushing's syndrome, but her current problem is much more serious than Cushing's syndrome."
"Let's go and have a look." Naturally, the deputy director of the emergency department's mobility was not limited. Director Liu waved his hand and headed towards the monitoring room.
"Hello, Dean Liu?" Wang Jianpei followed Liu Tangchun, took out his mobile phone and dialed a number. "I saw a very interesting case at Lao Liu's place. I guess you might be interested in taking a look.
…”
"This is definitely not a tumor." Liu Tangchun took off his glasses and observed the light spots on the monitor screen. "The border is clear and there are traces of calcification..."
"Are you all here?" Liu Tangchun was studying imaging. Suddenly, an old man about the same age as Liu Tangchun walked in outside the door. However, his hair was combed very neatly, and the white coat on his body seemed to have been ironed just now. Even a trace of
There are no wrinkles at all. His voice is loud and reassuring. "Director Wang, what kind of disease do you have?"
"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 walked through the door was Professor Liu Pingchuan, the vice president and director of neurosurgery of the Fourth Central Hospital.
Sun Lien had met Vice President Liu. But he just nodded as a greeting, and all other attention was focused on the images that continued to be refreshed.
"A total of... twenty-seven." After two or three minutes, Sun Lien put down the counter in his hand. "There are two unidentified tissue growths less than one centimeter away from the brain stem. It is certain that one of them has compressed the pituitary gland.
Her pituitary gland was approximately 1.5 millimeters off midline and slightly curved."
The brain tissue of a normal person is somewhat like tofu. Although the appearance is a little bumpy, except for the ventricles and blood vessels, the hemispheres of the brain are basically complete tissues. But Chen Wen's brain is more like a piece of frozen tofu riddled with holes.
I don’t know why or when, twenty-seven peas were inserted into it.
These balls are of different sizes, the largest one is about five millimeters in diameter. The other balls are much smaller. The ball that pressed against Chen Wen's pituitary gland is only about three millimeters in diameter.
When it comes to organic brain problems, you can never go wrong by asking a neurosurgeon.
"Call the Centers for Disease Control." Vice President Liu suddenly said after a long silence, "It may be cerebral hydatid. Ask the family members if they have taken their children to the western pastoral areas, or if they have dogs at home. Prepare for surgery.
,she has Cushing’s disease?”
Sun Lien nodded quickly, "Yes."
"For a biopsy, take it from the tissue that squeezed her pituitary gland."
Cerebral hydatid, as the literal meaning explains. When the parasite appears in the brain tissue and is wrapped, this strange disease will occur.
The parasites parasitizing the patient's intestines began to ovulate after they matured, and some of the eggs happened to pass through her intestinal wall, enter her brain through the blood system, and parasitize in the brain.
The environment of the brain is very different from that of the intestine. In order to protect themselves, parasite larvae will work hard to create a thin film around their bodies and fill the thin film with fluid. These are the ones that have the same density as cerebrospinal fluid on MRI.
The true face of tiny spheres.
"Her father..." After hearing the doctor's diagnosis, Shen Qingmei covered her face and muttered, "I bought a Tibetan Mastiff from the northwest pastoral area three years ago. I have been raising it in the villa, and Xiaowen has a very good relationship with it.
"
"Dogs are the ultimate host of Echinococcus granulosus." Sun Lien explained, "Your daughter may have been exposed to dog feces containing eggs while playing with dogs. Then she became infected..."
"It doesn't matter anymore." Shen Qingmei controlled her emotions, "How to treat this? Can I just take some medicine?"
"Surgery is required." Sun Lien took out a notice. "Although it can be confirmed through MRI that there are some objects suspected to be vesicles, we cannot determine what they are before the biopsy. We are going to perform an operation on Chen Wen.
Test and treat.”
"We will insert a needle through Chen Wen's nasal cavity. Then with the help of MRI data and surgical navigator, we will enter her skull and find the vesicle that is compressing her pituitary gland."
Sun Lien explained the surgical procedure to Shen Qingmei.
"After finding the vesicles, we will extract the liquid inside, and then remove the remaining vesicles through the endoscope. This can directly relieve the compression of Chen Wen's pituitary gland and obtain a vesicle sample. When we hand over the sample
After reporting it to the Centers for Disease Control and Prevention, it will be possible to confirm what parasite is in her brain within about a week."
"The disease that caused her to gain weight is called Cushing's syndrome, but what caused Cushing's syndrome was a parasite hidden in her brain."