#岳阳头条 ##岳阳市中医医院#
A few days ago, Mr. Zhou (pseudonym) was discharged from the Department of Neurosurgery of Yueyang Hospital of Traditional Chinese Medicine, and his gratitude was overflowing: "I thought that I would never be able to walk anymore after searching for medical treatment in many places, and I didn't expect to be diagnosed with a rare dural arteriovenous fistula in Yueyang Hospital of Traditional Chinese Medicine, and through surgery and traditional Chinese medicine treatment, it was completely cured. ”
(▲Preoperative MRI and spinal angiography to confirm the diagnosis)
Mr. Zhou, who lives in the Yueyang building area, developed symptoms of weakness and numbness in his legs without warning five months ago, and he didn't pay attention to it at first. It wasn't until the walking posture became abnormal, and even the daily urinating and bowel movements became difficult, that I realized the seriousness of the problem. Visited at a local general hospital, but the diagnosis was ambiguous, mentioning only the possibility of a spinal cord vascular malformation.
Later, he went to several hospitals in other places and gave a similar diagnosis, but he took a lot of medicines, but he could not see the effect, the symptoms were still aggravating, and Mr. Zhou could hardly take care of himself. Faced with the unknown cause, Mr. Zhou and his family were anxious and came to the Department of Neurosurgery of Yueyang Hospital of Traditional Chinese Medicine for a combination of Chinese and Western treatment.
Zhong Bin, director of the Department of Neurosurgery of Yueyang Hospital of Traditional Chinese Medicine, had a detailed understanding of Mr. Zhou's medical history, studied the examination data in the outer hospital combined with the results of MRI examination, and with rich clinical experience, he keenly found that Mr. Zhou may be a rare dural arteriovenous fistula.
In order to confirm the diagnosis, the neurosurgical intervention team performed a total spinal angiography for Mr. Zhou, and sure enough, a dural arteriovenous fistula was found in Mr. Zhou's right thoracic 6th vertebrae. Due to the pressure and damage caused to the spinal cord, if not treated with surgery in time, it may lead to more serious neurological dysfunction, and may even lead to irreversible spinal cord injury, paralysis of both lower limbs and other serious consequences.
"Rare diseases? Can I still be cured? Mr. Zhou and his family were even more frightened. Director Zhong Bin patiently explained to Mr. Zhou the treatment plan of surgery and TCM rehabilitation. Director Zhong Bin's professional explanation and sincere suggestions calmed the mood of Mr. Zhou and his family.
The neurosurgery team immediately organized a case discussion and decided to perform microscopic dural arteriovenous fistula resection in order to study the surgical plan. After sufficient preoperative preparation, Director Zhong Bin led the team to accurately locate the fistula under the microscope, and on the premise of ensuring the integrity of the spinal cord and spinal nerve root and the intact preservation of the facet joint, part of the vertebral plate was removed, the fistula was accurately resected, and the fistula was successfully blocked.
After the operation, Mr. Zhou's symptoms of weakness and numbness in both lower limbs were significantly improved, and his walking posture also recovered well. The spine is stable and self-moving, without any sequelae. After undergoing rehabilitation treatment with integrated traditional Chinese and Western medicine, Mr. Zhou quickly recovered. The family was overjoyed and praised the accurate diagnosis and precise treatment of the neurosurgery team of Yueyang Hospital of Traditional Chinese Medicine.
Director Zhong Bin introduced that dural arteriovenous fistula is a neuraxial vascular malformation that has only been gradually recognized in the past 20 years. It is due to various reasons that cause a fistula to form between the arteries and veins in the dura. The early symptoms of the patient are not obvious, and the aggravation of the disease can cause symptoms such as burning sensation in the lower limbs, weakness of the lower limbs, intermittent claudication, and muscle atrophy.
Spinal angiography is the "gold standard" for diagnosing spinal cord vascular diseases, and it is also a difficult new radiointerventional technique. Mr. Zhou's successful treatment is due to the application of new technologies, which marks a new breakthrough in the diagnosis and treatment of spinal cord vascular diseases in Yueyang Hospital of Traditional Chinese Medicine.
Hunan Medical Chat Special Author: Yueyang City Hospital of Traditional Chinese Medicine, Hualin, Li Youfei
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(Editor YT)