Headache, nausea, hand numbness found to be extremely rare encephalopathy

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Headache, half-numb numbness; Thought it was a common disease, Ms. Trinh Thi Thanh Tam (born in 1983 in Binh Thanh District, Ho Chi Minh City) went for a health check and suddenly discovered that she had a rare disease: intraventricular arachnoid cyst. Worried yet, she was unexpectedly lucky to have access to one of the best neurosurgeons in Vietnam and recover from an unusual operation.
Due to its rarity and difficulty in treatment, as soon as a rare case was discovered in Vietnam as well as in the world, a clinic in Ho Chi Minh City introduced Ms. Tam to a very good specialist in neurosurgery, Dr. Tran Hoang Ngoc Anh - Head of Neurosurgery Department, Vinmec Central Park International General Hospital.
Ventricular arachnoid cyst is a type of cyst in the brain, which can severely affect life. Unexpectedly, she could have a strange disease, so Tam spent days very confused and worried.
Through the examination and based on the MRI image of Ms. Tam, Doctor Ngoc Anh determined that the arachnoid cyst was quite large, growing and pressing, pushing the brain axis to the right for a long time. With this condition, surgery is needed to restore normal brain function. Otherwise, it will affect thinking ability, loss of balance, cognitive decline. Cases need to be treated as soon as possible.

The surgeon's task is to release the stagnant fluid to reduce the size of the cyst. From there, the cyst no longer presses on the brain, the problem will be solved. Because cases like this are very rare, in the literature, there are only about 10 cases recorded in the world, so the number of surgeries on ventricular cysts in the world is still small, there is no surgical procedure. standard for surgeons to perform - said Dr. Ngoc Anh.
The case is a challenge, but it can't be difficult for a veteran neurosurgery expert like Dr. Tran Hoang Ngoc Anh. In this case, the surgeon must do his own research to determine the exact location of the opening into the cyst and the ventricles, the relationship between the cyst and the ventricular system, the patient's scalp structure to determine the exact path of the cyst. Surgery on the brain and the need to intervene in the cyst .
Ms. Tam is very young and is the main worker, so she has a desire to keep her hair as much as possible so that she can return to life soon after surgery. Therefore, the nurses have taken care of and carefully prepared the scalp and incisions to help patients not have to shave off their hair like most head surgery.
Thanks to the planning, calculation and selection of the appropriate incision, the anesthetic process with just the right dose of drugs, and the effective support of the specialized neuroendoscopic system, the surgeons were able to access precise surgical position and manipulation. The single-hole endoscopic system can insert 3 necessary surgical instruments into the brain. The brain surgery lasted more than 1 hour as a brainstorming match for the surgeon with good results.
“We have endoscopically opened the cyst into the occipital horn of the right ventricle safely and accurately, minimizing the damage to the patient. This is the least impactful intervention method, no tools are placed in the body, so the patient can recover soon after surgery "- Doctor Tran Hoang Ngoc Anh said.

True to the doctors' prognosis, immediately after surgery, the patient was awake, the limbs showed no signs of weakness. This proves that the operation was safe, uncomplicated, and the wound healed quickly. The whole process of intervention on the brain and scalp is less invasive, so the patient has very little pain, recovering soon after only 1 week. The results of the CT scan showed that the arachnoid cyst was reduced in size, the midline was less displaced than the preoperative film.

In particular, because the hair was kept intact, 2 days after the surgery, Ms. Thanh Tam was able to wash and drop her hair as usual.
Now, after 3 months of surgery, Ms. Thanh Tam has had very good re-examination results, no symptoms of headache, nausea, numbness in the hands and back to a completely normal life like never before. Brain surgery complicated thousands of pounds hanging hairs.
Over 20 years as a neurosurgeon, this is the 2nd case of Doctor Tran Hoang Ngoc Anh performing endoscopic arachnoid cyst surgery in this position. Although it is a rare disease to treat, the doctors have taken advantage of the good skills of the surgeons and the support of the sophisticated endoscopic facilities at Vinmec Central Park Hospital, the smooth coordination with the doctors. Anesthesiology specialists to successfully treat even complicated and uncommon cases for patients.
Specialization in Surgical Anesthesiology - Central Park International General Hospital is a gathering place of leading medical experts at home and abroad, a team of highly qualified, skilled and enthusiastic doctors. , dedicated and wholeheartedly for the benefit of the patient, and regularly updated knowledge about Anesthesia and Resuscitation.
Besides arachnoid cyst surgery, the Department of Anesthesiology and Surgery of Central Park International General Hospital also ensures programmed and emergency surgeries for all types of Cardiology, Oncology, Obstetrics and Gynecological surgery. Department, Gastroenterology, Urology, Orthopedic Trauma,... With modern equipment along with professional passion and dedication in work, the Hospital is committed to providing the best quality of service. and highest patient satisfaction.

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