Case: Lai, who works in the city, is in his 30s and often suffers from dizziness and headaches, so he came to the city's Wuyi Hospital of Traditional Chinese Medicine for treatment. At the doctor's suggestion, he did a CT examination of the brain and found that there was a 4x3cm cyst on the left lateral side of his brain, which was later diagnosed as a hyaline diaphragm cyst. The doctor suggested two treatment options for Mr. Lai: traditional craniotomy and the latest minimally invasive CT localization and puncture treatment for him to choose. After weighing the two options, Mr. Li was willing to adopt the minimally invasive CT localization and puncture technique for treatment. Wu Fenpei, chief neurosurgeon of Wuyi Hospital of Traditional Chinese Medicine in the city, performed the surgery, which was very successful, and the review results 3 months after the surgery showed that the patient was in good condition, everything was normal, and no complications appeared.
Transparent diaphragm cysts:
Symptoms should be checked in time
It is understood that the transparent diaphragm cyst is a special type of cysts of the brain, which belongs to the congenital malformations of the brain. The hyaline septum is located in the medial wall of the lateral ventricle, which is membrane-like and divided into two layers, and there is a potential cavity between the two layers. There is a small amount of fluid in the cavity, and if there is too much fluid, the hyaline septum can be widened, and if it is abnormally enlarged to form a cyst, then it will be known as the hyaline septum cyst or the fifth ventricle. The septum lucidum develops between the 12th and 19th week of gestation. All preterm infants have a septum pellucidum, which begins to disappear gradually; normal pregnant infants begin to close before birth, and the septum pellucidum is usually rarely seen about 2 months after birth, with an incidence of about 10% after 6 months, which is close to the adult incidence.
With age, patients with hyaline diaphragm cysts generally do not begin to experience symptoms until their 20s or 30s, usually manifesting as dizziness, headache, and vomiting. Some scholars point out that some large hyaline diaphragm cysts can have a higher incidence of epilepsy, psychosis and neurosis, and may not cause clinical symptoms if they do not block cerebrospinal fluid channels and compress the basal ganglia or the inner capsule.
Wu Fenpei, chief neurosurgeon of Wuyi Hospital of Traditional Chinese Medicine, said that transparent diaphragm cysts are relatively few cases in the clinic, and not many are found in Jiangmen City, the proportion is not large, because the cysts are not more than 2cm, generally do not produce symptoms, but the cysts are more than 2cm, there are clinical symptoms, it is necessary to be treated by surgery, so patients with transparent diaphragm cysts should be timely to go to the hospital after the emergence of symptoms. The best way to confirm the diagnosis is to use a CT scan, which can quickly and clearly confirm the diagnosis.
Minimally invasive treatment:
Jiangmen is in the leading position
Since entering the 21st century, medical technology has been developing towards minimally invasive and non-invasive surgery in many fields, which simply means avoiding incision and less incision, so as to make the patient suffer less pain and minimize the physical damage to the patient, because this way has the advantages of less trauma, less complication, shorter operation time, and complete tumor removal and so on.
In fact, the neurosurgery department of Wuyi Hospital of Traditional Chinese Medicine started the relevant treatment as early as the 1980s, and the neurosurgery department of the hospital was officially independent from the neurology department from July 1, 2003, and has a considerable influence and popularity in rescuing the severe craniocerebral trauma. The Department of Neurosurgery has a number of chief physicians, deputy chief physicians and other technical specialists, as well as CT scanning, magnetic **** vibration, DSA (i.e., data angiography) and other hardware equipment, hardware and software have reached a considerable level, and has a number of cases of successful surgical experience, approved by the Provincial Association of Chinese Medical Sciences to assess the first batch of hospitals that can carry out surgery for brain tumors, is the second hospital in Guangdong Province, among the hospitals of traditional Chinese medicine.
Since 2004, the Department of Neurosurgery of Wuyi Hospital of Traditional Chinese Medicine has started to use minimally invasive techniques to treat cysts in the brain, and the application of this technique is in the leading position in Jiangmen City, and there are not many of them even in the Pearl River Delta. The Department of Neurosurgery of City Wuyi Hospital of Traditional Chinese Medicine has so far successfully done many such surgeries. There are more than 10 cases of hyaline diaphragm cysts and sphenoid cysts done by Dr. Wu Fenpei, the chief surgeon, using minimally invasive techniques, and the results of the surgery are very good, with very few complications, and not a single case of recurrence has been found so far. In addition, the Department of Neurosurgery at Wuyi Hospital of Traditional Chinese Medicine has considerable experience and achievements in the treatment of cerebral hemorrhage using minimally invasive techniques.
Doctor's Profile
Wu Fenpei is the director of neurosurgery at Wuyi Hospital of Traditional Chinese Medicine in Jiangmen, China. He studied under Professor Chen Mingzhen, former president of the Provincial Neurosurgical Society, at the First Affiliated Hospital of Sun Yat-sen University. He has 30 years of experience in neurosurgery and specializes in the treatment of neurosurgical disorders, including traumatic brain injury and its sequelae, brain hemorrhage and tumors of the brain and the vertebral canal, dizziness and headache, epilepsy, and so on. (Article / Figure Liu Ying Ran)