Mrs. Lianzhen Xie

Mrs. Lianzhen Xie

OVERVIEW

Name: Mrs. Lianzhen Xie
Diagnosis: Cavernous malformation
D.O.B: 21 March 1980
Gender: Female
Country: China

Treatment: Lesion resection from left temporal-occipital approach, under a general anesthesia

HISTORY

Mrs. Xie, a 30-year-old female patient from China, was admitted at Beijing Puhua International Hospital on 23rd December 2009, due to a new diagnosis of cavernous vascular malformation of the pons.

Medical condition before neurosurgery for Cavernous malformation

Mrs. Xie was in good health until 2009. At the beginning of her present illness, approximately May in 2009, Mrs. Xie experienced a subtle but persisting headache. Four days after the onset of her headache, a ‘numb feeling’ on her right face followed, which then gradually spread to her left face and tips of right fingers. So she went to a local hospital and underwent a cerebral MRI scan. The result revealed that there was an abnormal signal shadow: a cavernous vascular malformation accompanied by hemorrhage was considered.

In order to get treatment for Cavernous malformation, she visited Tiantan Puhua Hospital in June 2009. Considering the risks and benefits of surgery, she decided to undergo Traditional Chinese Medicine (TCM) treatment instead. TCM did help her get rid of her headache and the numbness in both hands and face gradually. However, one month before her second admission, the headaches came back again, accompanied by dizziness and a numb feeling on tips of the fingers of each hand, as well as over her eyelids. Ten days later, double vision occurred, which was disabling. Finally, she and her family made a decision to seek a neurosurgical cure at Tiantan Puhua Hospital, in Beijing.

Neurosurgical approach for Cavernous malformation

Lesion resection from left temporal-occipital approach, under a general anesthesia. The procedure took eight hours and fifteen minutes, and the lesion was completely removed.

Medical condition after neurosurgery for Cavemous malformation

After neurosurgery for cavernous malformation, Mrs. Xie recovered gradually. Pathological diagnosis was consistent with the clinical diagnosis of a cavernous vascular malformation. Seven days after her surgery, her sutures were removed, with a well-healed incision. Prior to her discharge, she did not complain about headache and dizziness again. Her decreased superficial sensation was resolved.  She went on well with her daily life post the operation. On the 11th day of her surgery, she discharged from our hospital.

Follow Up

On 20th April 2010, Mrs. Xie visited PIH for a post-op follow visit. Her symptoms had almost completely resolved. She did not have headache, dizziness, numbness feeling, or double vision any more. Review of post-op cerebral MRI scan revealed that the lesion had been totally removed.

Cerebral MRI scan before surgery

 

 

Cerebral MRI scan after surgery

 

 

 

 

 

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