Big Doctor Live Room

Chapter 689 Intracranial EEG

As soon as these words came out, Dongfang Wenxin laughed unscrupulously later. Chen Qun was actually educated by a mentally handicapped genius. Instead, he felt that this mentally handicapped genius could achieve unprecedented success. To a large extent, he was very different from a child like him. There are relationships.

But, since you are a child, don't let the child underestimate you, or you will not be convincing when you speak later.

Chen Qun immediately explained to him.

"The reason you said is only half right. Under normal circumstances, I can't hear what you play. But this time you are playing in an instrument. As long as you move your fingers, the instrument will record you If you restore your voice, you will know whether you are playing correctly. Alright, let’s start playing the first piece.”

As soon as Chen Qun finished speaking, his fat fingers began to move on the paper.The reason why ordinary paper is used instead of portable piano keys is that the metal instrument may cause other harm to the patient during the MRI test.

Sure enough, as soon as the performance started, Pangpang's performance movements immediately appeared on the large floor-standing screen in front, and the sweet music flowed out like spring water.Let Pangpang, who was lying on the bed, raise his head slightly and watch the big screen in front of him while performing his performance.

At this time, Chen Qun's attention was focused on the small screen above his head. The 3D simulated brain model of his girlfriend and the image detected by the MRI appeared on the screen at the same time, and the bioelectric light was like an electric current. , flickering back and forth on the 3D brain, wandering erratically, like a beautiful elf jumping back and forth in the brain.

"Isn't it cool? Chen Qun, you should admire this girl's ability now, right?"

Chen Qun didn't care about his girlfriend's showing off. Instead, he looked at another set of data and pictures of the simulated brain in surprise, and made gestures to the control room behind the window.

"Qi Hong, have you noticed why his brain is very active, but there is only one part, that is, the peripheral brain does not show any signs of activity. Xiaoxin, you specifically specify the location of the peripheral brain area, and I want to see the data."

On the opposite side, Qi Hong flicked on the computer twice, and then made a suggestion to Dongfang Wenxin.

"Although Pangpang is undergoing MRI at this time and cannot perform echocardiogram testing, your simulation software has this program. Can you use the simulation program to simulate his examination results first to restore his real situation. If Chen Qun is right, it should be his heart problem, which caused his muscle dystonia and hand convulsions."

"Isn't it a brain problem?"

"The lack of blood supply to the brain will lead to hand cramps. Heart problems are the main reason, and the lack of brain nerve function is the direct cause. The two are not opposite."

Qi Hong explained the relationship between the two to the eldest lady.

But Chen Qun beside the machine directly raised another question.

"But heart ischemia can't explain the reason for his multiple seizures. It must be brain damage. We need to continue to check! Further checks."

"Positron emission tomography has shown that his brain is the same now as it was a year ago, two years ago, or even 15 years ago. Not much has changed."

"No, we still need to do an MRI of the brain to determine what is wrong with his not so active left brain!"

Without even thinking about it, Chen Qun proposed a diagnosis plan.This time, he didn't want to go to the system space to find the real answer, but gave up the system and made a diagnosis like a normal doctor.

He has enough confidence and reason to believe that, with or without a system, the results of his speculation are the same.The system is just a tool to verify whether he is correct.

Half an hour later, angiography images appeared on the big screen. Chen Qun pointed at a picture and waved his fingers to the two girls in charge of the operation.

"Qi Hong, mark the position of the midbrain spine. There is a mass of nearly eight centimeters here, extending to the temporal lobe. Surgery cannot be performed here."

"Wait, if there are so many blood clots in his position, he should not be able to survive long ago. You mean, this scar on him is irrelevant, right?"

Qi Hong looked at the examination results with some surprise, completely believing that there is no one who has so many blood tumors in his brain and is still alive and well.In other words, these hemangiomas, which are fatal to others, are not the main reason for his illness, and they don't even affect his daily state.

Chen Qun nodded and raised his head with a wry smile.

"We identified one problem, but created more problems. Now we have solved his first symptom, the principle mechanism of hand cramps. But we found more unreasonable places, so now we have two There are two choices. The first choice is to solve the current problem, so that he can be discharged from the hospital; the second choice is to cure him completely. I think, what is the choice of the two of you, I don’t need to answer. "

Qi Hong also shook her head helplessly, rotated the position of the picture, and asked Chen Qun outside for advice.

"You identified three problems, but you still haven't solved the most critical problem, which is why his right brain is more active than his left brain?"

"Actually, this problem is the same as his epileptic exacerbation. I just had an intracranial arteriovenous angiography. You can see the sixth image below. In the MRI angiography image, it has been confirmed that my most The original hypothesis, small clots of blood clots, spread all over the white matter of his left brain. So now the epilepsy caused the lack of blood supply to his brain and ruptured blood vessels, and finally caused hand convulsions. So we have to solve his intracranial hemorrhage and find out what is the cause .”

When Qi Hong heard what Chen Qun said, her complexion changed and she firmly opposed it.

"You want to do an intracranial biopsy? You're going to kill him! Besides, his brain waves are completely normal. Where do you need to check? There are already multiple lesions in his brain, which are worse than my teacher's." , you rush in like a wild bull, and you will only make the loss very bad."

"You can't just stick a needle in the temporal lobe either! It's luck in the right place!"

"I don't need to try my luck. I just need to do an intracranial EEG to determine the specific problem. His brain is already full of structural abnormalities. Only relying on our MRI and external EEG will only find vague Unclear parts. If you do an EEG, you can know where to do a biopsy!"

When Qi Hong heard Chen Qun's intensified request, he couldn't help but droop his head on the desk and said weakly.

"Don't you know that biopsy is already very dangerous, and there is a [-]% probability that the patient will be sent directly to see God. Now, in order to avoid this [-]% probability of danger, you choose [-]% to [-]% Maybe kill the patient for treatment? You might as well just change his brain, maybe it's more appropriate."

Dongfang Wenxin next to her directly searched for this detection method and exclaimed.

"You're going to drill twelve small holes in his head, enter the skull, and then implant electrodes, sticking to the meninges of the brain, to confirm where exactly is the problem?"

Qi Hong was more aware of the danger and the rationale, so she asked this guy straight to the point.

"Chen Qun, you don't have to go around and tell us, what exactly are you suspecting?"

Chen Qun pointed to the picture just now, and said the answer word by word.

"I suspect that his entire right brain hemisphere has already been brain-dead for at least 20 years!"

As soon as these words came out, the two girls were shocked, but looking at the various coagulations displayed on the contrast images, they felt that Chen Qun's speculation was very natural.Anyone with so many lesions on the brain, the only result is brain death!

It’s just that the patient’s situation is a bit special. The right side of the brain died, so there was a long lesion in the middle, but it didn’t affect his life and performance.This answer also answered why Chen Qun insisted on doing intracranial EEG. For a patient whose half of the brain died, this very dangerous examination turned out to be not so dangerous.

If the test results are true, then this fat man is simply a miracle for mankind, rewriting the limits of the human brain again.There have been several cases imported from abroad where half of the brain hemisphere has been removed and lived for decades. It is also possible to have symptoms of obesity.

(End of this chapter)