I can see the status bar

Chapter 33 Cushing, but not Cushing
The excitement of Sun Li'en and Luo Ge only lasted for a second.

"My God..." Luo Ge looked at the images that continued to appear on the screen, dumbfounded, "What is this?"

On the MRI, many white orbs appeared.Roughly counting, 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 in almost the entire brain of Chen Wen.And the small white ball closest to the pituitary gland has already pressed Chen Wen's pituitary gland. "This..." Sun Lien said "this" for a long time, but he couldn't figure out what kind of disease would cause such a large number of unknown tissues to form.He swallowed, "Brother Luo, continue to scan her, this time for a whole brain imaging, I'll invite Director Liu and the others to come over."

Pushing open the door of the MRI monitoring room, Sun Lien rushed directly to the emergency room.

"Did you find something?" Director Liu raised his eyebrows in surprise, "You really have two brushes."

"It's not...it's not an ordinary tumor." Sun Lien panted, "Brother Luo is still releasing films, Director Liu, hurry up and take a look with me..."

"Yeah?" There was a surprised murmur from outside the door. Sun Lien turned his head to look, only to find that Director Wang, who had just drank two bowls of mutton vermicelli soup at noon, was standing at the door, "Why is this? Why did you panic?" Like this?"

"Director Wang!" Sun Li'en seemed to have seen a savior, "I just did an MRI for that little girl with a heart attack..."

After listening to Sun Lien's discovery, Director Wang also had a look of disbelief, "How many small white balls are there?"

"There are at least ten. There may be more." The sweat on Sun Lien's head seemed as if someone had turned on the faucet, almost a few streams flowed down his cheeks. "One of them has been compressed to her pituitary gland. There is no problem with the judgment 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 ability to move was not limited. Director Liu waved his hand and walked towards the monitoring room first.

"Hello, Dean Liu?" Wang Jianpei followed behind Liu Tangchun, took out his mobile phone and dialed a number. "I saw an interesting case from Lao Liu. I figured 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 boundary is clear, with traces of calcification..."

"Are they all there?" Liu Tangchun was studying imaging when an old man who was about the same age as Liu Tangchun suddenly walked in from the door.It's just that the hairstyle is very neatly combed, and the white coat on his body looks as if it has just been ironed, without even a single wrinkle.His voice was loud and reassuring. "Director Wang, what's wrong with you?"

"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 pushed the door in was Professor Liu Pingchuan, vice president and director of neurosurgery of the Fourth Central Hospital.

Sun Lien 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.

"There are... 27 in total." Two or three minutes later, Sun Lien put down the counting device in his hand. "There are two unidentified tissue hyperplasias less than one centimeter away from the brainstem, and it is certain that one of them has compressed the pituitary gland—her pituitary gland deviates from the midline by about 3 millimeters, and has a slight curvature."

The brain tissue of a normal person is somewhat like tofu. Although the appearance is somewhat uneven, except for the ventricles and blood vessels, the hemispheres of the brain are basically complete tissues.And Chen Wen's brain is more like a piece of frozen tofu full of holes. For some reason or when, 27 peas were embedded in it.

These spheres vary in size, the largest being about five millimeters in diameter.The other balls are much smaller - the ball that is pressing on Chen Wen's pituitary gland is only about three millimeters in diameter.

For organic brain problems, you can never make a big mistake asking a neurosurgeon.

"Call the Center for Disease Control." Vice President Liu suddenly said after a long silence, "It may be hydatid cerebri. Ask the family members if they have taken the 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."

"A biopsy is taken from the tissue that squeezed her pituitary gland."

Cerebral hydatid, as explained literally.This strange condition occurs when the parasite is present in the brain tissue and becomes encapsulated.

The parasites that lived in the patient's intestine matured and began to ovulate, and some of the eggs happened to pass through her intestinal wall and entered her brain through the blood system.And parasitic in the brain.

The brain is a very different environment than the gut, and parasite larvae try to protect themselves by creating a membrane around their body and filling it with fluid—that is, those that have the same density as cerebrospinal fluid on MRI. The true face of the tiny balls expressed.

"Her father..." After listening to the doctor's diagnosis, Shen Qingmei covered her face and said in a muffled voice, "I bought a Tibetan Mastiff from the pastoral area in the Northwest three years ago. It has been kept 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 come into contact with dog feces containing eggs while playing with dogs. Then she was 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 the existence of some objects suspected of vesicles can be confirmed through nuclear magnetic resonance, we cannot determine what it is before the biopsy. We are going to conduct a medical examination on Chen Wen." Test treatment."

"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 pressing on her pituitary gland."

Sun Li'en explained the operation process to Shen Qingmei.

"After finding the vesicles, we will extract the liquid inside, and then take out the remaining vesicles through the endoscope. This can directly relieve the compression of Chen Wen's pituitary gland and obtain a sample of the vesicles. When we hand over the samples After giving it to the CDC, it will be confirmed within a week what kind of worm is parasitic in her brain."

"The condition that caused her to gain weight was called Cushing's syndrome, but what caused Cushing's syndrome was a parasite lurking in her brain."

　Someone on Longkong accused Chen Wen of plagiarizing Dr. House's case.

　　Dr. House was my first introduction to medical knowledge... It sounds like shit, but it is.

　　Plagiarism is of course unacceptable, even for the previous kitten rescue team, I have made some adjustments.

　　And Chen Wen's case is similar to House's, but the disease is the same.

　　As an enduring popular medical drama, House filmed 8 seasons and 192 seasons. Could it be that the disease in these 192 episodes must never appear again?
　　Okay, let's talk about being happy.

　　I want a recommendation ticket! ! ! !

　　


(End of this chapter)