Under the bridge in front of the door
Swim past a flock of ducks
Come and count
stop!
Xiaobian does not want to recall his childhood today
It's a patient story I heard recently
Can't help but think of this nursery rhyme
The flippers of the little duckling
It is an important secret to its ability to swim
But if it is in the veins of a person
Also grew "duck webs"?
That's not to make you more able to swim
And it could be life-threatening!
There have been many cerebral infarctions, but the cause cannot be found
"Dad, what's wrong with you?!" In a 3-story house in a village in Taizhou, 30-year-old Zhou Liang (pseudonym) was packing his luggage in the room, when he suddenly heard a bang outside, ran out to see, and found that his father fell on the ground, he shouted loudly, but his father closed his eyes and did not respond.
Zhou Liang and his wife quickly sent their father to the local hospital, after being examined as cerebrovascular infarction (cerebral infarction), after emergency embolic removal, 57-year-old Uncle Zhou (pseudonym) turned the crisis into safety, but he made a muttering in his heart: What the hell am I doing?
It turned out that in the past five or six years, Uncle Zhou had already had several cerebral infarctions, although the previous few times were not as dangerous as this one, but the cause of multiple cerebral infarctions had never been identified. And about 2 years ago, Uncle Zhou's right eye vision narrowed, the afterglow could not see things, at that time also thought that there was a problem with the eyes, did a lot of examinations, but found that it is still caused by cerebral infarction, because the cerebral infarction occurs in the lateral occipital lobe area, the main function of the occipital lobe is to process visual information. After the blood vessel infarction in this area, the blood supply to the brain tissue is insufficient, necrosis, and partial loss of function, resulting in narrowing and loss of visual field.
Repeated cerebral infarction, Uncle Zhou felt that it could not be so "confused", not to mention that this cerebral infarction was so dangerous, almost caused him to be paralyzed, after a comprehensive examination, the local hospital found that Uncle Zhou's carotid artery was abnormal, under the advice of the doctor, Uncle Zhou came to the Zhijiang Branch of the First Affiliated Hospital of Zhejiang University School of Medicine.
"Duck webs" grow in the neck?
The deputy chief physician of the Vascular Surgery Shangtao received Uncle Zhou, combined with his symptoms and previous examination reports, after perfecting a series of examinations such as carotid B ultrasound and carotid digital subtraction angiography (DSA) for him, it was found that Uncle Zhou's carotid artery actually grew a "duck web", and this is the "culprit" that caused Uncle Zhou to have many cerebral infarctions!
Ordinary people's carotid lumen is normal flow of blood, and Uncle Zhou's carotid artery lumen wall grew a film-like sheet, about 1cm * 0 .8cm, under the wash of blood, floating and swinging, like duck webbing, so it is called carotid webbing.
Why does this "duck webbing" cause Uncle Zhou to repeatedly have cerebral infarction?
Experts tell us that this is like a block in the flow of water, when the water flows around it, due to the web swinging back and forth, causing the flow direction and flow rate of the water to change, forming a vortex here, a part of the blood will accumulate here, forming a blood clot for a long time. Because the blood flow in the carotid arteries is supplied to the brain, when the thrombus is detached, it flows along the blood flow to the brain, causing cerebral infarction.
At present, the treatment of carotid webbing is generally to perform open surgery to remove webs, but because Uncle Zhou also suffers from serious heart disease, kidney failure and other diseases, the risk of surgery is very large. After a multidisciplinary evaluation, the experts developed a minimally invasive surgical plan for stent implantation, through which the web was "pushed" to the side and no longer hindered the normal flow of blood.
On January 17, the chief surgeon of Tian Lu, deputy chief physician of the Vascular Surgery Department, performed surgery on Uncle Zhou, and after postoperative imaging review, Uncle Zhou's carotid webbed has been "obediently" attached to the wall of the blood vessel and is no longer "making waves".
The disease may be inherited
Why do "duck webs" grow in the carotid arteries?
"Carotid webbing is actually a developmental abnormality of the arterial lining, the cause is unknown, most people are congenital developmental abnormalities, related to genes and genetics." Professor Zhang Hongkun, director of the Department of Vascular Surgery of the First Hospital of Zhejiang University, said.
Through talking with Zhou Liang, it was learned that his grandfather also died of cerebral infarction, but at that time, no detailed examination was carried out, and it was impossible to determine whether it was a cerebral infarction caused by carotid webbing. Although Zhou Liang himself is only 30 years old, he has often had headaches in recent years, and has done a series of head examinations, but has not found the cause, and he said that he plans to do a carotid artery examination in the near future.
The incidence of carotid webbing is low, perhaps only one or two out of 1,000 people, which is easy to ignore, and the number of confirmed cases has been increasing in recent years with the continuous advancement of imaging technology. It is easy to be misdiagnosed as carotid artery plaque, arteriosclerotic disease, aortic dissection caused by hypertension, etc., experts say that it is necessary to conduct a detailed head and neck blood vessel ultrasound examination as soon as possible to evaluate, if the propensity is carotid webbing, and then combined with angiography or CTA for confirmation.
Just during the Chinese New Year, the Department of Vascular Surgery of the Zhijiang Branch of the First Hospital of Zhejiang University received another case of carotid webbing patient, a 60-year-old male patient who went to many hospitals due to long-term dizziness and fatigue, and was finally diagnosed with carotid webbing in the First Hospital of Zhejiang University.
Experts say that in general, carotid webbing does not require special treatment if no obvious symptoms are shown, but follow-up should also be noted. If a condition such as blurred vision, headache or even stroke is triggered, it needs to be treated with drugs or even surgery. Patients with uninjusted cerebral infarction, especially those with recurrent cerebral infarction, should be wary of the possibility of carotid webbing.