Woman with congenital brain defect

On November 10, specialist doctor Chu Tan Si, Head of the Department of Neurosurgery, Tam Anh General Hospital, Ho Chi Minh City, said that the hospital had just admitted a 28-year-old female patient who was diagnosed with a rare congenital brain fracture, with a rate of 1/100,000 cases.

According to the doctor, for over 8 years, the patient has been treated for seizures and epilepsy with the highest dose of oral medication but with no results. The results of the MRI scan showed that the patient's brain had a large crack extending to the right hemisphere. The doctor determined that the patient had a congenital brain crack since childhood but did not know. Therefore, the crack has now widened, causing severe seizures and epilepsy.

"Brachial plexus is a very rare birth defect, with a rate of about 1/100,000 people," informed Dr. Chu Tan Si.

Ca bệnh hiếm gặp, người phụ nữ nứt não bẩm sinh - Ảnh 1. — The doctor is decompressing the patient's intracranial pressure.

The doctors consulted and prescribed surgery to relieve intracranial pressure for the patient. Accordingly, the doctor took a tube made of specialized plastic and installed it in the brain fissure, helping to lead cerebrospinal fluid from the skull to the abdomen and absorb it there.

On this special pipeline there is an automatic valve so that when the cerebrospinal fluid in the brain fissure increases, increasing the intracranial pressure, the automatic valve will immediately open to allow the cerebrospinal fluid to flow into the peritoneal cavity. When the cerebrospinal fluid decreases, the valve will automatically close, preventing the cerebrospinal fluid from decreasing too much. From there, it helps maintain a moderate amount of cerebrospinal fluid, stabilizing the intracranial pressure.

After 3 days of surgery, the patient's health condition is stable and recovering well. The patient is expected to be discharged after 5 days. The patient still needs to take anti-epileptic drugs at appropriate doses and be monitored periodically for 2-6 months...

According to Dr. Chu Tan Si, encephalocele is caused by neuronal migration disorders and is characterized by a cleft in the brain. This cleft causes changes in cerebrospinal fluid circulation.

Most cases of small brain fractures do not increase intracranial pressure to the point of requiring intervention. Patients can still adapt and live normally. The case of the female patient above is special, the brain fracture expanded, cerebrospinal fluid overflowed, increasing intracranial pressure, compressing the surface of the cerebral cortex and causing epileptic seizures. The optimal solution is surgical decompression, followed by continued monitoring and treatment of epilepsy.

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