Squeeze into the ICU? Netizens exclaimed: So I am really dead…

People always have some weird characteristics. They know that they are wrong, but they still have to do it. For example: squeeze acne here, squeeze over there, pick and choose, anyway, if it doesn’t come out, no bleeding… Even if the doctor said to everyone how many times “Don’t squeeze”, some people just couldn’t help it. A few days ago, Xiao Yang, a 19-year-old girl from Ninghai, Zhejiang, got an intracranial infection because of a acne on her face. She almost caught her life. Coincidentally, there have been similar examples before! It was also accompanied by symptoms of persistent fever, coma, and incontinence. Reading the number of people reposted, everyone knows that everyone was shocked by this sudden incident. After all, who has had acne who hasn’t picked up the face, neck, arms, chest and back, as long as there are enough places, they have not let go…including All celebrities have shared the experience of acne squeezing, coupled with a certain sound of various acne squeezing methods, this banner is brightly illuminated, as if it is difficult to squeeze the acne…So today, I still want to Let me repeat again-don’t bet on acne tomorrow! From the pit to leave the mark, the ICU even… Why is the triangle so dangerous? The blood supply on the face itself is very rich, and the traffic is very lively; and this triangle area is not only denser, but also directly connected to the cavernous sinus of the brain. The cavernous sinus is a larger transportation hub, gathering blood and cerebrospinal fluid from many parts of the brain, eyes, neck, and various nerves. In addition, the most critical point is the lack of valves in the veins of this area—valves—that prevent blood from returning. When inflammation, folliculitis, and acne appear in the triangle area, as soon as you squeeze the blood without valve control, you may retrograde upward into the intracranial blood vessels. At this time, the bacteria and viruses in the blood are happy, opening up a new world! This may cause intracranial infection, which can lead to serious diseases such as meningitis or brain abscess. Don’t forget, what is acne? Let alone the small closed-mouth acne, most of the inflamed and red acne are mixed with bacteria, dead cells, white blood cells, sebum, etc., mixing together is a big source of pollution. Not to mention the various bacteria on your hands if you squeeze it with your hands. &nbsp. As soon as you squeeze, you put pressure on, and all kinds of pollution and bacteria are “poofed” from the wound to the intracranial cavernous sinus. The distance is close and no one is blocking it, but it is easy to “pound Huanglong” , Causing a storm of infection. The Big Triangle and the Small Triangle The “small triangle” we call is a dangerous zone that is often mentioned, and many people may know it. But in addition to the small triangle, there is actually a large triangle on the face that is equally dangerous, which refers to the triangle formed from the forehead point to the two lateral canthal points. &nbsp.The reason for the danger of the big triangle and the small triangle is the same, the difference is only the density of blood vessels. In fact, I really want to draw everyone’s entire face as a dangerous zone. Although many people have no scars or infections after squeezing acne, this is a probability event and it is extremely dangerous, so for the sake of life For beauty, stop! Can acne be squeezed? What to say, it depends on the situation. First of all, when there is no disinfection and tools, I always advocate not to pull and squeeze by hand. There is a more professional needle cleaning project, can I do it? In the hospital, you can listen to the doctor, but if you are operating at home, it is recommended not to squeeze the red, swollen, and inflamed papules, nodules, and cysts. Zhenqing can release the inflammatory secretions in the hair follicle sebaceous glands in time, reduce irritation, and destroy the anaerobic environment of the hair follicle sebaceous glands. However, it is only suitable for acne that has no inflammation and redness and has fully matured. In terms of safety, the big triangle + small triangle, the coverage area is no longer small, squeezing inflammation and acne is to increase the risk. From the aesthetic point of view, because the “waste” secreted by inflammation, going deep under the dermis is the key cause of scars. The process of squeezing and needle cleaning is likely to cause the inflammation secretions to go deeper. In other words, although you look at these big acne very uncomfortable, you squeeze and the needle is clear, although you feel that you will soon recover, but the chance of getting difficult acne marks and acne scars is higher, and the gain is not worth the loss. What to do with acne in the triangle? If it is one of the few, two, one word-wait! One more word-forbearance! &nbsp. If you can’t wait, or if you have a large area of ​​acne, quickly seek a doctor! If you wash your face at home and accidentally scratch it, or the acne matures and ruptures by itself, first use a cotton swab (not your hand!) to gently dip the pus and blood.

[Face Dangerous Triangle]

The dangerous triangle area of ​​the face usually refers to the triangular area formed by the line connecting the mouth corners on both sides to the root of the nose. In layman’s terms, it is from the root of the nose to the corners of the mouth. This area is recognized as a dangerous area. When inflammation occurs in the face, especially in this triangle area, it is easy to form thrombus in the veins in the front, which affects the normal venous blood return, and flows back to the superior ocular veins and leads to the skull through the supraorbital. The cavernous sinuses on both sides of the inner sella spread facial inflammation to the skull, resulting in severe complications of cavernous sinus purulent and thrombophlebitis. Once complications occur, symptoms such as eyelid edema, or throat stasis, protrusion of the eyeball, restricted abduction, ptosis, and even visual disturbances can usually occur. Inflammation can also spread to the eyes and surrounding tissues, and can appear throughout the body. Chills, fever, headache, etc., in severe cases, sepsis and toxemia may even occur, which is life-threatening.

Cerebellopontine angle cholesteatoma secondary to trigeminal neuralgia

  Trigeminal neuralgia is a disease mainly caused by episodic electric shock, acupuncture, knife-cutting pain in the distribution area of ​​the facial trigeminal nerve. In severe cases, the patient may not be able to wash his face or even eat normally due to facial pain. But, did you know that trigeminal neuralgia may also be caused by intracranial cholesteatoma? Trigeminal neuralgia can be divided into primary trigeminal neuralgia and secondary trigeminal neuralgia. Primary trigeminal neuralgia is mainly caused by the adhesion or riding of blood vessels to the trigeminal nerve, while secondary trigeminal neuralgia is caused by Caused by tumor compression on the trigeminal nerve.   Intracranial cholesteatoma, also known as epidermoid cyst, is a benign tumor that originates from the residual tissue of an ectopic embryo. It usually occurs in people around 40 years old, and the incidence rate accounts for 0.5-1.8% of all brain tumors.   Clinically, many patients with trigeminal neuralgia did not have a clear diagnosis when they saw the doctor. They were given medications according to the primary trigeminal neuralgia, but the symptoms persisted, and the patient was diagnosed with intracranial cholesteatoma after seeing the doctor again.   Intracranial cholesteatoma can be found in the cerebellopontine angle, parasera, fourth ventricle, lateral ventricle, cerebrum, cerebellum, and brainstem. The cerebellopontine angle is the most common growth site for intracranial cholesteatoma. After cholesteatoma grows in this site, trigeminal neuralgia is the main symptom in 70% of patients. This is why intracranial cholesteatoma is often used as a treatment for trigeminal neuralgia.   Clinically, the treatment of trigeminal neuralgia can choose drugs or surgery according to the condition, but the treatment of intracranial cholesteatoma requires surgery. Therefore, some patients with trigeminal neuralgia cannot control their condition after taking carbamazepine, and even get worse. However, after the cholesteatoma is removed, the symptoms of trigeminal neuralgia are relieved in a short period of time because of the cholesteatoma. The oppressive drugs for trigeminal neuralgia cannot be relieved, and surgery is necessary.   I hope that patients with trigeminal neuralgia, especially those with no clear diagnosis and suboptimal drug control, should never ignore the possibility of intracranial cholesteatoma. It is best to go to the hospital in time to clarify the cause and then perform symptomatic treatment to control the condition as soon as possible.

[Zhao Tianzhi, Tangdu Hospital] Imaging features and differential diagnosis of meningiomas

Meningiomas are divided into intracranial meningioma and ectopic meningioma. The former is formed by intracranial arachnoid cells, and the latter refers to meningiomas that occur in tissues and organs without meningeal covering, which are mainly evolved from the remaining arachnoid tissue in the embryonic period. The predominant sites are the scalp, skull, orbits, sinuses, meniscus of trigeminal nerve, and epidural layer. Among intracranial tumors, the incidence of meningioma is second only to glioma, and is the most common intracranial benign tumor, accounting for 15% to 24% of intracranial tumors. What is the occurrence of meningioma? The occurrence of meningiomas may be related to certain internal environmental changes and genetic mutations, not caused by a single factor. It may be related to factors such as traumatic brain injury, radiation exposure, viral infection, and bilateral acoustic neuroma. The common feature of these factors is that they may cause cell chromosomes to mutate or increase the speed of cell division. What are the clinical manifestations of meningioma? Meningiomas are mostly benign, with a complete capsule compressing and embedding in the brain parenchyma and closely adhering to the dura mater to form the pedicle of the tumor. The blood supply from the external carotid artery can be received through this place. The adjacent skull has signs of hyperplasia or erosion. Tumors are mostly spherical or nodular, growing outside the brain parenchyma, but often embedded in the cerebral hemisphere. This type of tumor grows slowly and has a long course of disease, so sometimes the tumor grows to a large size without symptoms. The clinical manifestations depend on the location of the tumor. People located in the cerebral hemisphere often cause headaches, epilepsy, hemiplegia and mental disorders. Epilepsy is more common in elderly patients. Those located at the base of the skull often have symptoms of involvement of the corresponding cranial nerves and brain. Symptoms of increased intracranial pressure usually appear later. The patient may suffer from loss of vision or even blindness in both eyes due to long-term chronic increase in intracranial pressure. It is worth noting that when the tumor in the dumb area grows very large and the brain tissue can no longer compensate, the patient will experience increased intracranial pressure, the condition will suddenly deteriorate, and even brain herniation may occur in a short time. What are the special tests related to meningioma? The electroencephalogram is mostly localized abnormal Q waves, mainly slow waves, and the background electroencephalogram changes slightly. The more abundant the blood supply of meningioma, the more obvious the appearance of delta waves. Plain X-ray film can show the thickening of the internal skull plate, diffuse hyperplasia of the bone plate, and needle-like radiation of the external bone hyperplasia. Cranial meningeal artery groove thickened and twisted. Among them, the hyperplasia of the skull indicates the center of the tumor. Cerebral angiography provides indispensable details for confirming the vascular structure of the tumor, the degree of tumor richness in blood vessels, the displacement of the main cerebrovascular, the relationship between the tumor and the large dura mater, and the opening degree of the sinus (deciding whether to ligate during the operation). . CT examination showed that the tumor was located outside the brain, with clear borders, uniform density, broad-based contact with the dura mater, and uniform enhancement after enhancement, showing meningeal tail sign. MRI examination shows that T1 or slightly low signal, T2 signal can be equal signal, high signal (indicating that the tumor texture is relatively soft), low signal (indicating that the tumor texture is relatively hard), and obviously strengthened after enhancement. For meningioma examination, mainly CT and MRI. What are the treatments for meningioma? Because most meningiomas are benign tumors, surgical resection is the main treatment, and surgery is still the first choice for recurrent meningiomas. And can cooperate with radiotherapy and so on. Whether meningioma needs treatment is mainly determined by the location and size of meningioma, whether there is pressure on surrounding tissues, and whether there are symptoms of increased intracranial pressure. If the meningioma is relatively small (such as 1cm) or less, and has no obvious symptoms of compression on the brain tissue and cranial nerves, it can be observed. It is recommended to check once a year for any changes. Meningiomas are small in diameter and can be treated with gamma knife. If the tumor is relatively large, it has obvious compression on the surrounding brain tissue and cranial nerves, or has increased intracranial pressure, as long as the patient has no surgical contraindications and can tolerate surgery, surgical resection is recommended . Because the tumor receives the dual blood supply from the internal and external carotid arteries, there is more bleeding during the operation. The complete resection should include the affected dura mater and the adjacent skull, otherwise it is easy to recur.

Woman squeezes acne causing intracranial infection! Stop it, this is the correct way to get rid of acne

The day before yesterday, there was another case of intracranial infection caused by “squeezing acne” on Weibo Hot Search: In fact, this is not the first time this kind of news has occurred, and there are many similar news:&nbsp.NO1. Why squeeze acne Is it so dangerous? The dangerous triangle of the face refers to the triangle formed from the root of the nose to the corners of the mouth on both sides (it is also the hardest hit area for many people with acne). The blood vessels at this location are very rich, and it is easier to leak colors. In the small space of the facial triangle, there are 6 facial veins running horizontally and vertically, which can pass directly into the skull, and the distance is not far. For example, there is a blood vessel called the facial vein passing through the nasal cavity, and upward is the internal canthal vein, communicating with the intracranial cavernous sinus. The facial vein is also connected to the deep facial vein and can pass through the pterygoid venous plexus to the cavernous sinus. What is the cavernous sinus? The cavernous sinus is a group of venous blood vessels surrounding the internal carotid artery in your brain, because they are too dense and stick together. The most important thing is that it is in the skull. In other words, starting from the danger triangle, the enemy has many pathways that can pass through the eyes and brain (this is also why infections in the danger triangle often endanger the eyes). Children’s boots with a certain biological knowledge know that arteries are responsible for transporting blood produced by the heart to all parts of the body, while veins collect blood back into the heart. How to control venous blood is “concentric flow”. There is an important valve called the venous valve. The venous valve is a one-way valve, just like the entrance and exit of a high-speed railway station. Entry means entry and exit means exit. Once it has passed, it can’t go back and can only move in one direction with the current. If there is something wrong with the venous valve, it will easily lead to turbulent flow of venous blood. To give an example that everyone is familiar with, varicose veins are related to insufficiency of the venous valve, which cannot prevent the blood from “backflowing” and accumulate in the lower limbs. In the danger triangle, there is no venous valve at all, and no one “guards the gate” to control the direction. In other words, blood in this area can easily flow in both directions. This is equivalent to giving the enemy a shortcut to our fortress, which is not guarded yet. So as long as an enemy discovers and tries to take a shortcut, we are in danger. Don’t forget, what is acne? Let alone the small closed-mouth acne, most of the inflamed and red acne are mixed with bacteria, dead cells, white blood cells, sebum, etc., mixing together is a big source of pollution. Not to mention the various bacteria on your hands if you squeeze it with your hands. You apply pressure as soon as you squeeze, and all kinds of pollution and bacteria start to squeeze into the intracranial cavernous sinus from the wound. The distance is close and no one is blocking it, but it’s easy to “pound the dragon” and cause A storm of infection. So, it’s best not to squeeze the acne on your face! It is estimated that someone will jump out and say, no, I squeezed it through and it was all right. All I can say is that everything has a chance. The danger triangle does not mean that you will be infected if you squeeze it. However, it is said that this position is very dangerous, so don’t challenge your own life. &nbsp.NO2. Can acne be squeezed? What to say, it depends on the situation. First of all, when there is no disinfection and tools, I always advocate not to pull and squeeze by hand. There is a more professional needle cleaning project, can I do it? In the hospital, you can listen to the doctor, but if you are operating at home, it is recommended not to squeeze the red, swollen, and inflamed papules, nodules, and cysts. Zhenqing can release the inflammatory secretions in the hair follicle sebaceous glands in time, reduce irritation, and destroy the anaerobic environment of the hair follicle sebaceous glands. However, it is only suitable for acne that has no inflammation and redness and has fully matured. &nbsp. Of course, some acne is not because we say not to squeeze, it will stay there honestly. They will “blow”, what should we do in the face of such acne? NO3. What should I do after breaking the acne? First of all, we have to judge whether this acne is mature. If the acne is broken by squeezing it yourself, the following treatment methods are not suitable for you. If the acne breaks after the pus head is out, you can refer to the following methods to deal with it. 1) Wash the part and hands clean. This step cannot be less. 2) Gently disinfect the area around the broken acne with a disinfectant. 3) Prepare two sterile cotton swabs on both sides of the acne and gently squeeze them into the skin to allow the contents of the pus and acne to flow out. Most of the time you may see one half of the digestion Sebum suppository. Don’t squeeze if you can’t see it. Sometimes the acne is not fully cooked, you may need to wait a couple of times after this treatment

Young girls squeeze acne to cause intracranial infection, don’t squeeze acne in the “dangerous triangle”

Yesterday, I saw such a message on Weibo: Xiao Yang, a 19-year-old girl from Ningbo Ninghai, squeezed out an acne on the bridge of her nose. As a result, it caused an intracranial infection and suffered from “cavernous sinus thrombosis.” Phlebitis” was admitted to the hospital. After reading this news, I am really worried about the girl, and I hope she can recover soon. At the same time, I think it is necessary to remind everyone that if you have acne in the danger triangle, don’t squeeze it, otherwise it may be life-threatening. Why does acne squeezing in the “dangerous triangle” cause intracranial infection? You may have heard of the mysterious and dangerous “Bermuda Triangle”, where many planes and ships have sunk or disappeared, and the triangle of the face is also dangerous. “Dangerous triangle” usually refers to the triangular area formed by the line from the corners of the mouth on both sides to the root of the nose. The reason why the facial triangle can cause intracranial infection is because the facial veins in this triangle have communication branches within the skull, which means that blood from the facial veins can flow into the brain. When the face has an infection in this triangle area, such as acne, thrombosis is easy to form in the facial veins, which affects the normal venous blood return, and it flows back to the superior ocular vein, through the orbit, and leads to both sides of the intracranial sella Cavernous sinus, if bacteria enter the facial veins, the bacteria can spread to the skull in this way, causing severe complications of cavernous sinus purulent and thrombophlebitis, and even life-threatening. The hazards of squeezing acne are far more than these. In addition to squeezing acne in the triangle area of ​​the face may cause intracranial infection, acne in other parts should also be careful not to squeeze. If squeezing the acne causes ulceration and infection, it is likely to cause great damage to the skin. The milder can cause acne marks, and the severer can cause keloids (a benign skin tumor). This is because when squeezing acne without cleaning, sterilizing, and anti-inflammatory, when squeezing acne with hands, the bacteria on the hands can easily cause skin inflammation, and then cause ulcer infection. Failure to control local inflammatory immune response in time will lead The continuous scar proliferation effect eventually forms keloids. Once a keloid is formed, if it is not actively intervened, it will continue to erode the surrounding normal skin and gradually increase its proliferation, which not only affects the appearance, but may even cause malignant transformation-scar cancer. Therefore, for keloid scars, we must discover and treat them in time. Treatment of keloids caused by acne. Mr. Zhou developed a lot of acne on his face during puberty, especially the most serious part of the mandible, which was almost one piece. In addition, he often squeezed the acne and induced infection, which caused the jaw to grow. There are many keloids, accompanied by redness, itching and other symptoms. He has also used some externally applied ointments, but apart from the temporary relief of itching and other discomfort, it is difficult to get rid of these keloids. After coming to the hospital for face-to-face consultation, I learned about the cause of the disease through questioning, and combined with the results of the examination, I formulated a non-surgical comprehensive treatment plan for Mr. Zhou with drug injection and SRT-100 shallow radiation. By blocking the blood supply of the keloid tissue and cutting off its internal nutrient supply, the continuous proliferation of keloids is prevented, and the goal of eliminating keloids and preventing recurrence is finally achieved. After the system treatment, Mr. Zhou’s recovery effect is extremely obvious. From the comparison photos he sent back, it can be clearly seen that the almost continuous keloids have basically disappeared, and the skin color has returned to normal. Finally, I would like to emphasize that the key to acne growth in the “dangerous triangle” is to control inflammation, so don’t squeeze acne. If acne develops in the danger triangle, seek medical attention in time to avoid serious injury caused by squeezing acne.

Zhao Tianzhi, Tangdu Hospital: The principles of treatment of intracranial cholesteatoma

Intracranial cholesteatoma is a congenital benign tumor that originates from the remnant tissue of an ectopic embryo. It is also called epidermoid cyst, epithelioid cyst or pearl tumor. It is more likely to occur in the cerebellopontine angle, next to the sella, and can also be found in the fourth ventricle. Lateral ventricles, cerebrum, cerebellum, and brainstem can be multiple, without obvious gender differences, and the disease can occur at any age. Clinically, patients with intracranial cholesteatoma may have a variety of symptoms depending on where the tumor grows. For example, patients with cerebellopontine angle cholesteatoma often start with trigeminal neuralgia and have hearing changes; patients with sella cholesteatoma usually Impaired vision and visual field; cholesteatoma in the brain parenchyma may have seizures, nystagmus, ataxia, etc. At present, it is believed that the ectoderm was mixed into the neural tube during the embryonic period (3 to 5 weeks of gestation). It is a foreign body in the brain and the cause can be traced back to the embryonic period. Therefore, surgical resection is the most fundamental treatment. The development of any disease is gradual and is a process of slowly expanding growth. Intracranial cholesteatoma often expands along the skull base to the subarachnoid space and the fissures of the brain. It only shows clinical symptoms when it grows larger. . Patients often go to the hospital to check for the disease when clinical symptoms appear. Before that, the growth period of intracranial cholesteatoma often lasted for many years. At this time, the use of drugs to control, its effect is limited. Therefore, for patients with intracranial cholesteatoma, it is generally recommended that they be removed in time and the surgery is relatively mature. The doctor can remove the tumor’s cyst wall as much as possible and avoid blood vessel and nerve damage. The surgical treatment effect is relatively good!

Do you know how long a brain tumor can live?

 Brain tumors are also called intracranial tumors, including primary and secondary. Secondary brain tumors are mostly malignant. Patients with brain tumors are more common in the age of 20-50. Children are also common at the age of disease. Intracranial tumors in children are mostly malignant and benign tumors are deeply located and difficult to remove, which often endanger the lives of children.   Brain tumors are mainly treated with surgery, radiation therapy and chemotherapy. The therapeutic effect of pediatric patients is worse than that of adult patients. The main reason is that there are many malignant intracranial tumors in children and the location of benign tumors is deep and difficult to remove. Different types of treatment have different survival periods. How long brain tumor patients can live depends on the following factors: the degree of surgical resection, the type of tumor tissue, whether the patient has completed postoperative radiotherapy or chemotherapy, the location and size of the tumor, whether there is recurrence, and implantation or metastasis inside and outside the nervous system.   According to the statistics of clinical cases, the 5-year survival rate of children suffering from brain tumors is only 36%, and the 10-year survival rate has dropped to 21. If you suffer from glioblastoma multiforme, the 5-year survival rate is less than 7.1%.   Early detection and early treatment are essential for the treatment of brain tumors. According to the results of research and statistics, there are three typical symptoms of early brain tumors: headache, vomiting, and papilledema.   About 80% of patients with brain tumors experience headaches. This is because brain tumors cause increased intracranial pressure. Any behavior that increases intracranial pressure will increase the headache, even changing the position will affect the degree of headache. For example, when standing, the brain pressure can be relatively reduced and the pain is reduced; when in the lying position, the brain pressure is relatively increased, and the pain is aggravated. When the headache is severe, it will be accompanied by nausea, vomiting, and vomiting. The headache will be relieved in the short term.  Papillary edema is an important objective basis in the “three main symptoms” and one of the early symptoms of brain tumors. Papillary edema does not cause visual disturbance in the early stage of the patient, but as the disease progresses, the patient will experience concentric reduction of the visual field. In the late stage, the optic nerve of the patient will atrophy, causing a rapid decline in vision.

Do you know how long a brain tumor can live?

   Brain tumors are also called intracranial tumors, including primary and secondary. Secondary brain tumors are mostly malignant. Patients with brain tumors are more common in the age of 20-50. Children are also common at the age of disease. Intracranial tumors in children are mostly malignant and benign tumors are deeply located and difficult to remove, which often endanger the lives of children.  The treatment of brain tumors mainly adopts surgical treatment, radiotherapy and chemotherapy. The therapeutic effect of pediatric patients is worse than that of adult patients. The main reason is that there are many malignant intracranial tumors in children and the location of benign tumors is deep and difficult to remove. Different types of treatment have different survival periods. How long brain tumor patients can live depends on the following factors: the degree of surgical resection, the type of tumor tissue, whether the patient has completed postoperative radiotherapy or chemotherapy, the location and size of the tumor, whether there is recurrence, and implantation or metastasis inside and outside the nervous system.   According to the statistics of clinical cases, the 5-year survival rate of children suffering from brain tumors is only 36%, and the 10-year survival rate has dropped to 21. If you suffer from glioblastoma multiforme, the 5-year survival rate is less than 7.1%.   Early detection and early treatment are essential for the treatment of brain tumors. According to the results of research and statistics, there are three typical symptoms of early brain tumors: headache, vomiting, and papilledema. If any of the above three symptoms occurs, you need to go to a regular cancer hospital as soon as possible to diagnose whether there is a possibility of brain tumor.   About 80% of patients with brain tumors experience headaches. This is because brain tumors cause increased intracranial pressure. Any behavior that increases intracranial pressure will increase the headache, even changing the position will affect the degree of headache. For example, when standing, the brain pressure can be relatively reduced and the pain is reduced; when in the lying position, the brain pressure is relatively increased, and the pain is aggravated. When the headache is severe, it will be accompanied by nausea, vomiting, and vomiting. The headache will be relieved in the short term.  Papillary edema is an important objective basis in the “three main symptoms” and one of the early symptoms of brain tumors. Papillary edema does not cause visual disturbance in the early stage of the patient, but as the disease progresses, the patient will experience concentric reduction of the visual field. In the late stage, the optic nerve of the patient will atrophy, causing a rapid decline in vision.

What is a benign brain tumor? How to prevent benign brain tumors?

 Benign brain tumors. Cells in a certain part of the skull multiply abnormally, but the growth rate is slow, the tissue differentiation is also good, and most of them can be treated. But it does not mean that benignness means that it will not endanger human life. Whether it is benign or malignant, it will squeeze into the brain tissue, resulting in increased intracranial pressure and threatening human life.   There are many reasons for benign brain tumors. For example, someone had a brain tumor in the family history, and the offspring may also have this condition. In addition, long-term working or living in an environment full of carcinogens is also likely to get sick. In addition, Chinese medicine believes that evil toxins invade internally, liver stagnation transforms fire, qi and blood go upside down, leading to damp heat and stagnation, so the internal causes of intracranial tumors are spleen and kidney yang deficiency or liver and kidney yin deficiency. Cold air and evil air enter the body and accumulate for a long time, and to a certain extent, it will erupt into a tumor. According to statistics, benign brain tumors are a relatively common high incidence of benign tumors. Therefore, in order to prevent benign brain tumors from approaching you, the following points are summarized: 1. Pay attention to dietary hygiene and avoid exposure to benzopyrene, nitrosamines and other carcinogens If it is unavoidable, please take protective measures before entering the environment with carcinogens.   2. Develop good personal hygiene, exercise properly, strengthen the body’s immunity, and resist virus invasion.   3. Protect your brain, and deal with it in time if there is a traumatic brain injury.  4. Eat a balanced diet. While consuming meat, you should also pay attention to the intake of fruits and vegetables, especially yellow-green fruits and vegetables, such as tomatoes, pumpkins, and cabbage.   5. Patients with brain tumors should not give birth again.  Life is the most precious treasure in this world. You must protect yourself from disease and be happy for a lifetime.

Which parts of patients with thrombocytopenia are most likely to bleed! Are you clear?

Assistant Hu Guisheng WeChat: dd326751 Article source: Reposted from the WeChat public account [Hu Guisheng Studio] Platelets are derived from bone marrow pluripotent hematopoietic stem cells. After entering the blood circulation, about 1/3 are stored in the spleen. After aging and consumption, they will enter the liver and spleen for elimination. When a trauma occurs, platelets will quickly adhere to the wound and aggregate into clusters to form a softer hemostatic thrombus; then promote blood clotting to form a solid hemostatic thrombus, which prevents blood substances from flowing out of the blood vessels.   The main function and role of platelets is to coagulate and stop bleeding. When the number of platelets in the body decreases, the patient has a tendency to bleed. The lower the number of platelets, the higher the risk of bleeding. When the platelets are lower than 50×10^9/L, there is a risk of bleeding; when the platelets are lower than 20×10^9/L, the risk of bleeding is increased; when the platelets are lower than 10×10^9/L, it is easy to occur Severe central nervous system bleeding and massive gastrointestinal bleeding are life-threatening. 1. Gastrointestinal bleeding. Gastrointestinal bleeding or central nerve bleeding: This type of bleeding can be serious life-threatening. If bleeding is too much, it may bleed more than 1000ml at a time, which can easily cause hemorrhagic shock. And central nerve bleeding is likely to be caused by Respiratory failure caused by compression to the medulla oblongata should be treated promptly.  2. Visceral hemorrhage    common are gastrointestinal bleeding and hemorrhage after surgery. In severe cases, intracranial hemorrhage may also occur. The visceral hemorrhage occurs relatively quickly, which can easily cause hemorrhagic shock. Intracranial hemorrhage can lead to death, mainly due to abnormal blood coagulation.  3. Skin congestion and ecchymosis   Small ecchymosis or congestion may be found on the skin. This is due to thrombocytopenic purpura caused by thrombocytopenia, and life-threatening conditions such as internal organs or intracranial hemorrhage should be avoided.   Therefore, all patients with thrombocytopenia must take protective measures in their lives, try not to bump them, avoid external traumatic bleeding, and follow up regularly. Of course, the most important thing is to increase the number of platelets, so as to restore the same platelet anti-aggregation effect as normal people, and avoid the risk of bleeding.   For those patients whose values ​​are around 70 or 80, follow-up observation is indispensable, and protective treatments can also be performed to restore the values ​​to the normal range as soon as possible. Although the value is higher than 60, there is no risk of internal bleeding, but we must be wary of a sudden drop in platelets.

Common symptoms of epilepsy in children

 Common symptoms of epilepsy in children? Fever and high fever are common when children are young. For some patients with epilepsy, this may cause seizures, so parents should pay special attention. Children are a high-risk group, which makes many parents and friends very distressed. I don’t understand why my child has epilepsy. Children often have symptoms of epilepsy. Let the experts tell you the symptoms and causes of epilepsy in children now. I hope parents and friends will take them seriously. From the etiology of the onset, epilepsy can be divided into two categories: one is epilepsy without a clear cause, most of these patients are genetically related, and the other is epilepsy where a clear cause can be found, then The most common causes of the disease include:   ①Neurodermatosis: the most common are tuberous sclerosis, neurofibromatosis and cerebral trigeminal hemangioma.   ②Congenital brain developmental malformations, such as anemia, giant gyrus malformation , Multiple cerebellar gyrus malformations, gray matter heterotopia, cerebral penetrating malformations, congenital hydrocephalus, hydrazine callosum hypoplasia, arachnoid cysts, microcephaly, megacephalus, etc.   ③Inherited metabolic diseases, such as phenylketonuria , Hyperammonemia, cerebral lipid precipitation, vitamin b6 dependence, etc.   ④ intracranial infections: such as bacterial meningitis, encephalitis, brain abscess, fungal meningitis, cerebral parasitic disease, post-vaccination encephalitis , Post-infectious encephalitis, etc.   ⑤ Perinatal brain injury, mainly birth injuries, asphyxia, intracranial hemorrhage, hypoxia, ischemic encephalopathy, among which hypoxic-ischemic encephalopathy causes epilepsy is the most common.   ⑥ Nutrition Metabolic disorders and endocrine diseases, common hypoglycemia, hypocalcemia, hypomagnesemia, vitamin b6 deficiency, and hypothyroidism.   ⑦ Trauma: Intracranial hemorrhage, skull fracture, brain contusion caused by trauma can be caused Epilepsy, but the incidence is related to the degree and location of the injury.   ⑧Cerebrovascular disease: such as cerebrovascular malformations, intracranial hemorrhage, cerebrovascular inflammation, cerebral infarction, etc.   ⑨ brain damage after high fever convulsions also lead to epilepsy.  Experts on the symptoms of common epilepsy in children reminded that patients should pay attention to their own physical changes, and they must go to a regular hospital for examination and diagnosis in time, and actively cooperate with doctors for treatment to avoid delaying the condition.

Health Science | Brain tumors are not without medicine, understand this knowledge and face it positively.

There are two things in this world that are the most mysterious. One is the vast universe above our heads, and the other is the small but very macroscopic brains in our heads. Although people are constantly exploring them, they are still poorly understood. The brain is very important. This is common sense that everyone has, because it is not only the foundation for us to walk in this world, but also an important functional organ for us to connect with the world. Nowadays, if people hear that someone has a brain tumor, their first reaction is to sentence the person to death, but not all brain tumors are incurable. They understand the true nature of brain tumors and actively face the ‘false verdict’. What is a brain tumor? Brain tumors refer to new organisms that grow in the cranial cavity, also known as intracranial tumors, brain cancers, which can originate in the brain, meninges, nerves, blood vessels and brain appendages, or metastasize from other tissues or organs in the body Formed by invading into the skull, most of them can produce headache, intracranial hypertension and focal symptoms. The incidence of brain tumors is about 1.9 to 5.4 people/(100,000 people per year), accounting for 1% to 3% of various tumors in the body. It is believed that people are afraid of brain tumors, so they usually cannot face it with the correct attitude. After learning that they are sick, they do not actively take treatment, resulting in the high mortality rate of brain tumors. What are the signals given by the body? Patients with brain tumors mainly have the following typical symptoms during the illness: 1. Increased intracranial pressure, caused by tumor space, cerebral edema and hydrocephalus. The specific clinical manifestations are as follows: (1) Headache, which is usually aggravated during morning waking, coughing and defecation, and relieved after vomiting. (2) Vomiting occurs mostly in the early morning as a jet. (3) Optic nerve head edema can cause visual field defect, vision loss, and eventually blindness. 2. The symptoms of neurological function are caused by the direct stimulation, compression and destruction of brain nerves by tumors. (1) Compression symptoms: tumors in the sellar region can cause vision and visual field disorders; tumors in the cavernous sinus region compress nerves and can lead to cavernous sinus syndromes such as ptosis, eye movement disorders, and decreased facial sensation. (2) Destructive symptoms: central anterior and posterior gyrus tumors can cause movement and sensory disturbances on one limb; frontal lobe tumors often have mental disorders; occipital lobe tumors can cause visual disturbances; lower parietal gyrus and superior marginal gyrus can cause miscalculation, Aphasia, apraxia and named aphasia, etc.; motor aphasia can occur when the language motor center is damaged. When the tumor invades the hypothalamus, it shows endocrine disorder; the tetraassic tumor has upper eyeball visual disorder. When the cerebellar vermis is involved, muscle tone is reduced and the trunk and lower extremities are ataxia, and cerebellar hemisphere tumors have ipsilateral limb ataxia. Brainstem tumors show cross paralysis. Causes of cancer So why do people get brain tumors? According to the current related studies, factors such as ionizing radiation, carcinogenic compounds, viral infections, and the patient’s own nutritional status, hormone levels, and immune function may all be related to the onset of intracranial tumors. The following conditions are most likely to cause brain tumors: 1. Environmental pollution As environmental pollution becomes more and more serious, people are surrounded by various chemical elements, and various toxic elements enter the body will cause Cause genetic mutations to form tumors. 2. Ionizing radiation is currently used in a large number of electrical appliances, especially the use of mobile phones, which will produce a large number of radiation rays. With the increase in the frequency and intensity of people’s contact with these radiation rays, it increases the mutation of intracranial cells and causes the brain Probability of appearance of tumor within. 3. Decrease of body’s immunity Long-term staying up late, excessive mental stress, fatigue and autoimmune diseases will lead to the decline of body’s immunity, so that tumor cells can escape immunity, and then the malignant growth of tumors leads to intracerebral tumors. Although the risk of brain tumors is very high, but with the continuous advancement of science and technology, this frightening condition is not as people recognize and cannot be cured. At present, people’s main treatment methods are mainly as follows: 1. Surgical treatment of intracranial tumors can be roughly divided into two categories. One is direct tumor surgery, which specifically includes tumor resection, open biopsy and Stereotactic biopsy; the other is palliative surgery, including internal decompression, external decompression, and cerebrospinal fluid shunt. For benign intracranial tumors, surgical resection is the most effective treatment method, and it can be cured without other treatment after total resection; malignant

Watch out for the invisible killer of the ear-cholesteatoma

Speaking of otitis media, everyone knows that because it is a common disease, you, your family, and people around you have had or at least heard of otitis media, but not everyone knows about cholesteatoma. Cholesteatoma is not what we usually call a tumor, because there are no tumor cells or cancer cells in it. Cholesteatoma is the accumulation of exfoliated epithelium. The epithelium that enters the middle ear grows larger and expands to the surrounding area, causing damage to nearby bones and possible complications of surrounding organs. Although it is not a real tumor, it is extremely destructive, so we must be highly vigilant about it. Why does this “destroyer” grow in the ears? There are many reasons leading to the formation of cholesteatoma, the most common is mainly the dysfunction of the Eustachian tube, the negative pressure in the middle ear cavity forms secretory otitis media, and the disease continues to develop into cholesteatoma. Cholesteatoma is also closely related to chronic suppurative otitis media. In patients with tympanic membrane perforation and repeated ear discharge, the epithelium on the tympanic membrane surface grows into the middle ear cavity, and cholesteatoma will also form. There is also a kind of congenital cholesteatoma, which is caused at birth. What are the symptoms of middle ear cholesteatoma? What inspections need to be done? The symptoms of the patients vary greatly, some are only ear discharge, and the pus has a foul smell; some have hearing loss; some have no symptoms, which are found during physical examination. Severe cholesteatoma can invade the facial nerve can cause facial paralysis, invade the vestibule and cause dizziness, and even invade the skull can cause intracranial complications, such as meningitis and brain abscess. Although the symptoms are not the same, experienced doctors can diagnose typical cholesteatoma only by physical examination or temporal bone CT through the typical manifestations of otoscope examination and temporal bone CT. We call ears suffering from cholesteatoma “dangerous ears”, because the direct compression of cholesteatoma or the action of the chemicals it releases can destroy surrounding bones, spread inflammation, and cause facial paralysis and intracranial complications. Symptoms are equivalent to burying a time bomb in the body, which will explode sooner or later. The more frequent the acute attacks, the faster the growth of cholesteatoma, and the closer the explosion time. Therefore, once cholesteatoma is found, no matter its size, surgery must be performed. It turns out that cholesteatoma is so terrible, how can I treat it? Conservative treatment of cholesteatoma is ineffective because of its destructive nature. Once discovered, surgical treatment is required as soon as possible. Generally, the earlier the treatment, the lighter the damage and the more function retention. The main purpose of surgery is to remove cholesteatoma, prevent it from further damaging the surrounding structure, and rebuild hearing as much as possible on the basis of removing the disease. If the inner ear has been damaged and hearing has been lost, hearing can only be reconstructed by other methods such as electronic cochlea implants. If intracranial complications such as brain abscess and meningitis have formed, you need to save your life first and then remove the cholesteatoma. It must be noted that cholesteatoma has the possibility of recurrence, and the recurrence rate is higher in children. Even the highest level doctor using the best microscope cannot guarantee that it will not recur. What the patient needs to do is to strictly abide by the surgeon’s requirements and follow up on time!

[Knock on the blackboard] Worry about low platelets inducing intracranial hemorrhage, teach you how to observe!

Regarding simple immune thrombocytopenia, the main hazard risk is autocoagulation and bleeding. Especially for patients whose values ​​are too low (less than 20), it is clinically verified that there is a high risk of internal bleeding. For patients in this area, how to make protective observations? The relevant analysis is carried out below. [Knock on the blackboard] Worry about low platelets causing intracranial hemorrhage, teach you how to make observations! The first step (observe well) observe the symptoms of patients with thrombocytopenia. If the patient has severe headaches, vomiting, blurred vision, stiff neck, or even impaired consciousness, it means that the patient has intracranial hemorrhage. If the first step occurs in the second step In this case, it is necessary to give oxygen immediately, take the supine position, keep the airway unobstructed, and notify the physician to do all rescue work, and apply hemostatic drugs and drugs to reduce intracranial pressure as prescribed by the doctor. The third step is based on the current real-time situation, it is necessary to give an ice pack or ice cap to the head, and closely observe the changes in blood pressure, pulse, breathing, pupils and consciousness. Observe the changes in the patient’s consciousness and pupils after the application of dehydrating drugs, observe for signs of bleeding in other important organs, and monitor platelet counts. (More knowledge comes from the bottom right of the picture) The fourth step is to be comforted if the thrombocytopenia patients are overly irritable, because irritable mood swings will aggravate brain hemorrhage. At the stage of medical treatment, appropriate sedatives should be given according to the doctor’s advice, and attention should be paid to avoid excessive sedation, so as not to affect the observation of the condition, and at the same time, add bed guards to prevent falling from bed. In summary, for patients with a value lower than 20, especially single patients, special attention should be paid! Timely detection of early manifestations of internal bleeding of thrombocytopenia can prevent the risk of related complications in time. In the final analysis, only by restoring the platelet value to the normal range as soon as possible can the risk of internal bleeding be avoided. Learn more about “disease knowledge” or “thrombocytopenia patient group communication” and other WeChat search public number: xxbjs

When intracranial cholesteatoma is found, how to choose the timing of surgery?

Intracranial cholesteatoma is a congenital benign tumor that originates from the remnant tissue of an ectopic embryo. It is also called epidermoid cyst, epithelioid cyst or pearl tumor. It is more common in the cerebellopontine angle and parasera, and can also be found in the fourth ventricle. Lateral ventricles, cerebrum, cerebellum, and brainstem can be multiple, without obvious gender differences, and the disease can occur at any age. Clinically, patients with intracranial cholesteatoma may have a variety of symptoms depending on where the tumor grows. 1. Cerebellopontine angle cholesteatoma: often onset with trigeminal neuralgia (70%), often with ipsilateral tinnitus, deafness, and late cerebellopontine angle syndrome, manifested by decreased facial sensation and weak facial muscle strength. Hearing loss, ataxia, etc. 2. Sellar cholesteatoma: vision loss and visual field defects are often the main early clinical manifestations. A small number of patients may have endocrine disorders, manifested as sexual dysfunction, polydipsia, polyuria and other pituitary insufficiency and hypothalamic damage. 3. Cholesteatoma in the brain parenchyma: Cerebral hemisphere tumors often have seizures, psychiatric symptoms, and hemiplegia, and cerebellar tumors often have nystagmus and ataxia. 4. Ventricle cholesteatoma: blocking the circulation of cerebrospinal fluid causes symptoms of increased intracranial pressure. 5. Skull cholesteatoma: It is often found accidentally that the skull is uplifted for many years, rubbery to the touch, no tenderness, and can be moved or fixed in different positions. The symptoms of patients with cholesteatoma are quite different, which often leads to confusion with other diseases when symptoms appear. , There is a phenomenon of misdiagnosis and mistreatment. Therefore, when the patient has the above symptoms, go to the corresponding outpatient examination without results, go to the neurosurgery examination in time to rule out the possibility of intracranial cholesteatoma. Director Zhao Tianzhi introduced that cholesteatoma often spreads in the subarachnoid space or ventricle and invades along various physiological channels or spaces. It is generally believed that the incidence of intracranial cholesteatoma is 0.5-1.8% of the whole brain tumor. Multiple shots are available, ranging in size from a few millimeters to several centimeters. The peak age is 40 years old. There are slightly more men than women, about 1.25:1. The incidence is most common in 20-50 years old, accounting for more than 70%. Tumors originate from embryos, but they usually develop clinical symptoms after adults. Once discovered, the tumors are often larger. Therefore, surgery must be performed as soon as possible after diagnosis.

Be wary of the invasion of intracranial cholesteatoma, you need to be cautious when these symptoms appear

Intracranial cholesteatoma is a congenital benign tumor that originates from the residual tissue of an ectopic embryo. It is also called epidermoid cyst, epithelioid cyst or pearl tumor. It can be multiple and has no obvious gender difference. It can occur at any age. Intracranial cholesteatoma accounts for about 0.5-1.8% of intracranial tumors. It is more common in the cerebellopontine angle, suprasellar cistern, ventricular system, and middle cranial fossa. The anterior cranial fossa is rare, usually along the subarachnoid fissure It is a creeping hole growth, which can surround blood vessels, and some cases invade the brain parenchyma. Clinically, patients with intracranial cholesteatoma may have a variety of symptoms depending on where the tumor grows. For example, patients with cerebellopontine angle cholesteatoma often start with trigeminal neuralgia and have hearing changes; patients with sella cholesteatoma usually Impaired vision and visual field; cholesteatoma in the brain parenchyma may have seizures, nystagmus, ataxia, etc. The development of any disease is gradual, it is a process of slowly expanding growth. Intracranial cholesteatoma often expands along the skull base to the subarachnoid space and the fissures of the brain. It only shows clinical symptoms when it grows larger. . Patients often go to the hospital to check for the disease when clinical symptoms appear. Before that, the growth period of intracranial cholesteatoma often lasted for many years. At this time, the use of drugs to control, its effect is limited. Therefore, it is generally recommended that patients with intracranial cholesteatoma be promptly removed. At present, the surgery for intracranial cholesteatoma is relatively mature. Doctors can remove the tumor’s cyst wall as much as possible and avoid blood vessel and nerve damage. The effect of surgery is relatively good!

“Tackling” leukemia, each has its own advantages

1. Although CNS-L complicated by AML is lower than ALL, it is still common for patients with M4, M5 and hyperleukocytoemia to develop CNS-L.   2. The disease is similar to meningitis, with manifestations of intracranial hypertension, such as headache, vomiting, and optic nerve head edema. Lumbar puncture increases the pressure of the cerebrospinal fluid, the number of white blood cells and protein in the cerebrospinal fluid increases, and the sugar decreases, and leukemia cells can be detected. Infringement of cranial nerves can cause corresponding symptoms, such as visual impairment, pupil changes, and facial nerve paralysis. Leukemia cells entering the central nervous system can be caused by blood flow dissemination, skull bone marrow leukemia cell infiltration, or intracranial spot hemorrhage.   3. It is difficult for general chemotherapy drugs to pass through the blood-brain barrier, and the central nervous system becomes a “shelter” for leukemia cells, which is one of the reasons for the recurrence of leukemia. Therefore, the above clinical types of AML should be prevented. 4. Western medicine treatment: After the disease appears, it is difficult for some drugs to pass through the blood-brain barrier, so it is difficult to achieve good therapeutic effects. Western medicine treatment is currently widely used in HD or ID-Ara-C intracranial concentration to kill leukemia cells s level. Intrathecal medication has better effects. However, the problem of relapse and drug resistance is still a clinical problem.  What is the occurrence of green tumors in acute leukemia?   1. Green tumors are myeloid leukemias, a limited infiltration of abnormal white blood cells under the periosteum or soft tissues. Because of its light green color, the lumps are round and raised like tumors, hence the name.   2. Patients with this disease are mostly healthy-looking children, and it is more common in men than women. There are often changes in the blood and bone marrow of leukemia, the course of the disease is rapid and the development is rapid, and it can die within months or even weeks.   3. The disease is noticeable with prominent eyeballs, because the orbital periosteum is the most common site for localized infiltration of leukemia. Lymph nodes in front of the ears and submandibular are often enlarged. There is also green pigmentation on the surface of the skin of the bump. In the later stage of the disease, all important organs and limbs are involved. In the later stage, death is often caused by anemia, infection and failure.   Fourth, treatment measures:    The disease should be treated as early as possible, and biopsy or surgical resection should be avoided to avoid uncontrollable bleeding. Mainly systemic chemotherapy, active symptomatic treatment. Combination of Chinese and Western medicine is used to reduce the side effects of chemotherapy.  What should I do if there is bone and joint pain in acute leukemia?   1. Bone and joint pain: Bone and joint pain is one of the important symptoms of leukemia. The main reason is the infiltration of leukemia cells to cause bone and joint synovitis. Long-term pain and torment have a great deal of mental devastation to patients and seriously affect the quality of life of patients.   2. Western medicine treatment: comprehensive systemic chemotherapy, active symptomatic treatment, antibiotics to control infection. Combined with Chinese medicine comprehensive treatment.

The head may be hydrocephalus. A tube can save lives

&nbsp.&nbsp.&nbsp.&nbsp. Each of our brains secrete water every day, this water is essential for nutrition and brain protection. The water in the brain and spinal cord of a normal person can store about 100-150ml, which is updated 3 times a day. Hydrocephalus is named after the excessive production or insufficient absorption of cerebrospinal fluid, resulting in excessive accumulation of water in the brain. &nbsp.&nbsp.The hydrocephalus are congenital hydrocephalus and acquired hydrocephalus. &nbsp.&nbsp. Congenital hydrocephalus is the mother’s presence during pregnancy. This congenital hydrocephalus may not have obvious clinical manifestations at first. When the baby is 2-6 months old, parents can find that the child’s head is larger than that of the same age. The fontanelle bulges obviously, the scalp veins are swollen, and the eyes are staring downward. We call it the sunset sign, just like the sun setting in the west, and children don’t like breastfeeding and tend to vomit. &nbsp.&nbsp. Acquired hydrocephalus are mostly caused by head trauma, intracranial hemorrhage, intracranial inflammation and infection, intracranial tumors, etc. &nbsp.&nbsp. The most immediate way to treat hydrocephalus is to find a way to drain the excess water to other places. There are many methods in modern western medicine, such as ventricular-abdominal shunt, which drains the brain water to the abdominal cavity. There is also lumbar cisterna-abdominal shunt, which is to put one end of the tube into the lumbar spine and one end into the abdominal cavity to drain the brain water. To the abdominal cavity, because of communicative hydrocephalus, the lumbar spine and brain water are connected. In addition, there are many shunt technologies that are rarely used now, although they are rarely used, they can still be used for some special cases. &nbsp.&nbsp.If hydrocephalus continues to progress and is not treated, it will not only cause dizziness, headache, nausea, vomiting, and not thinking about eating, but also cause brain herniation and cause sudden coma. Therefore, once hydrocephalus is found, it is progressing , Should be treated as soon as possible, most patients can completely relieve their symptoms after surgery. &nbsp.&nbsp.

What symptoms of meningiomas indicate surgery?

Meningiomas are divided into intracranial meningioma and ectopic meningioma. The former is formed by intracranial arachnoid cells, and the latter refers to meningiomas that occur in tissues and organs without meningeal covering, which are mainly evolved from the remaining arachnoid tissue in the embryonic period. The predominant sites are the scalp, skull, orbits, sinuses, meniscus of trigeminal nerve, and epidural layer. Among intracranial tumors, the incidence of meningioma is second only to glioma, and is the most common intracranial benign tumor, accounting for 15% to 24% of intracranial tumors. Clinical symptoms of meningioma 1. Early symptoms of meningioma: visual disturbance due to tumor growth, when it is compressed in different ways, squeezing or oppressing the optic nerve, optic chiasm, etc., eye movement disorders, decreased vision, visual field defects, hemianopia and even blindness occur 2. Mid-term symptoms of meningiomas: As meningioma grows, it occupies limited space in the skull, and headache, nausea, vomiting, and papilledema will occur. These symptoms are common symptoms of increased intracranial pressure Symptoms can be divided into acute and chronic intracranial pressure increase. 3. The growth site of meningioma causes symptoms such as indifference, delusions, hallucinations, etc.; and some manifested as hemiplegia, limb numbness, and some meningioma patients will have symptoms of endocrine dysfunction such as sexual dysfunction, amenorrhea, and impotence. 4. In addition, patients with meningiomas have ataxia, tinnitus, neck pain, etc. These symptoms are atypical and easily confused with other diseases such as cervical spondylosis, mental disorders, and pituitary tumors, so it is easy to cause misdiagnosis. When meningioma causes symptoms, surgery is needed as soon as possible. There are many symptoms caused by meningioma, depending on the location and size of the tumor. For example, some tumors are very large, which can cause increased intracerebral pressure and manifestations of high intracranial pressure, such as headache, nausea, and vomiting. But usually when meningioma causes high intracranial pressure, it indicates that the condition is already very serious. For meningiomas of the skull base, because there are 12 pairs of very important nerves distributed in the skull base, which nerve is compressed by the tumor, the corresponding nerve function will be affected. For example, the tumor compresses the oculomotor nerve that controls the eye movement, and the eye movement is affected, and there is a ghost in seeing things. If the tumor compresses the auditory nerve, hearing loss or even deafness will occur. The tumor oppresses the glossopharyngeal nerve and vagus nerve, and symptoms such as difficulty swallowing, slurred speech, hoarseness, and coughing when drinking water may occur. During the observation period, the size of the meningioma did not change much, but new meningiomas appeared in different locations. Why? Is it a transfer? Meningiomas are mostly benign tumors and do not metastasize. This condition, called multiple meningioma in medicine, has a very low incidence, about 1% to 8%. Why there are multiple meningiomas is still unclear, and there are many theories trying to explain this phenomenon. For example, the “multi-origin theory” believes that since meningioma grows in this place, it may grow in other places. There is also the “separate origin theory”, which believes that tumor cells will follow the flow of cerebrospinal fluid and spread to other locations in the meninges, resulting in multiple meningiomas. There is also a very rare genetic disease, neurofibromatosis, which can also cause meningioma to occur frequently. Associate Professor Zhao Tianzhi of the Department of Neurosurgery of Tangdu Hospital introduced: Most meningiomas are differentiated from certain tissue cells in the brain, usually from the outer side of the brain, and 90% are benign, because the growth rate is relatively slow, sometimes the symptoms are not Obviously, in many cases, when symptoms appear, the disease is found only after the medical treatment through MRI or brain tomography. If you ignore it and make the tumor grow bigger, it may eat through the brain bone, and even press the brain stem and endanger life. Inexplicable headache, vision loss, beware of brain tumors.