The scalpel that wanders on the nerve fibersPublished date: 2014-11-20Excerpted from Panyu Daily, November 12, 2014, page A6 (Our reporter Zhao Chuluan Correspondent He Xiu Ting) One morning in October, the reporter interviewed Peng Zhiqiang in the neurosurgery inpatient department of the District Hospital of Traditional Chinese Medicine, who showed the reporter a MR film of the patient, “This patient was today Just admitted, through her film taken in an outside hospital, we can see that the patient has a huge tumor in the brain, by observing the location of the tumor, estimated that the tumor may grow into the sagittal sinus, tomorrow need to do an in-depth examination ……” Peng Zhiqiang, Department of Surgery, Panyu District Hospital of Traditional Chinese Medicine, Guangzhou, China In the District The neurosurgery department of Panyu District Hospital of Traditional Chinese Medicine, Peng Zhiqiang has encountered a lot of similar patients, some of them are brain tumors, some are spinal cord tumors, and some of them are strokes. …… He said: “The neurosurgery department of Panyu District Hospital of Traditional Chinese Medicine has a scope of business that includes not only the more familiar diseases such as traumatic brain injuries, brain tumors, and cerebral vascular diseases, but also the specialty diseases such as facial muscle Convulsions, epilepsy and other specialty diseases diagnosis and treatment.” Microscopic “liberation” of the compressed facial nerve Mr. Chen (a pseudonym) found a few years ago that the left side of his face and eyes often involuntarily twitching, with the passage of time, Mr. Chen’s facial twitching is getting more and more serious, and it has seriously affected his daily work and rest. In order to solve the problem, he has been looking for medication, but the symptoms have not improved, and his left eye can not even open. After a series of tests, Mr. Peng diagnosed Mr. Chen’s symptoms as being caused by blood vessels compressing the facial nerve. After a series of examinations, Mr. Peng diagnosed that Mr. Chen’s symptoms were caused by blood vessel compression on the facial nerve. Through a comprehensive assessment, Mr. Chen’s consent was sought, and Mr. Peng underwent microvascular decompression of the facial nerve for Mr. Chen. After the surgery, Mr. Chen’s facial twitching symptoms were significantly improved and his eyes were able to open, making him feel much more relaxed. After the surgery, we learned that Mr. Chen’s facial twitching symptoms have not recurred for a long time. Peng Zhiqiang introduced, facial muscle twitching is a kind of semi-lateral facial involuntary twitching disease, twitching is paroxysmal and irregular, the degree of varying, can be aggravated by fatigue, mental stress and voluntary movement and so on. They may be aggravated by fatigue, stress, or voluntary movement. They usually begin in the orbicularis oculi muscle and then involve the entire face. Facial twitching occurs when a blood vessel next to the facial nerve compresses the nerve for a long period of time. The only way to cure facial twitching is to find the “offender” blood vessel and separate it from the nerve. At the same time, Peng Zhiqiang also said that not all facial twitching requires surgery, but the choice depends on the different conditions of each patient. Generally in the early stage or when the symptoms are not very serious, conservative treatment will be chosen. However, in the late stage when the efficacy of drugs is not obvious and the patient’s daily life is seriously affected, it is necessary to consider surgical treatment. According to the Neurosurgery Department’s follow-up statistics, the longest period of time after surgery is 3 years without recurrence. Video electroencephalogram makes epileptic foci have no place to hide Epilepsy is a common and frequent disease that seriously jeopardizes human health. Due to the occasional timing of epileptic seizures, ordinary EEG monitoring often fails to clarify key issues such as whether epilepsy is present, the location of the lesion and the type of seizure. As the first medical unit in our region to introduce video EEG, the District Hospital of Traditional Chinese Medicine has performed epilepsy treatment surgeries for many patients under EEG monitoring. According to Peng Zhiqiang, video EEG can clearly display patients’ daily activities in color video images, which is conducive to capturing every abnormal behavioral action that is valuable for diagnosis, and at the same time instantly record patients’ brain wave changes and sleep parameters. Doctors can clearly understand the course of the patient’s actions and duration in each period through video action trend analysis, and combined with the simultaneous EEG analysis, realize the process and duration of video images, sound and EEG. Combined with the synchronized EEG analysis, it realizes the unification of video image, sound and EEG, which greatly improves the diagnosis level of diseases. At the same time, video EEG can also help target lesions more accurately during surgery. Peng also said that most epilepsy treatments begin with medication, and if medication is ineffective, or if the epilepsy is caused by tumors and other vascular diseases that irritate the brain, surgery is needed. Surgical treatment for medically refractory epilepsy follows the 432 principle, which means more than 4 seizures per month with systematic medication; a history of more than 3 years; and more than 2 years of systematic medication. It is reported that with the assistance of advanced instruments such as microscope, intraoperative ultrasound, intraoperative EEG, etc., the surgeries carried out by Peng in his field of specialization are becoming more and more precise, both in terms of precise detection of the lesions and precise elimination of the lesions, so that more patients can benefit from them.