Practicing Medical Skills in a Small Clinic novel Chapter 811

Chapter 811: Chapter 379: Moyamoya Disease, Massive Health Point Reward

This aspect aligns with Li Jingsheng’s diagnostic direction.

Based on the previous head examination results of the patient, it can be basically determined that her head blood vessels are more abundant than those of a normal person. However, it is not clear whether there is any abnormality or malformation.

Now with the DSA examination, obvious lesions have been discovered.

The supraclinoid segment of the patient’s internal carotid artery bed shows significant stenosis, and near the anterior and middle cerebral arteries, there is even partial blockage.

The distal segment of the basilar artery is similarly blocked.

Seeing this, Li Jingsheng finally understands why the patient’s bilateral head vessels are far more abundant than normal.

When arterial vessels become stenosed or even blocked, the brain is forced to cause changes in the terminal vessels to ensure sufficient blood supply.

When a relatively thick artery is blocked, it may require ten or even twenty tiny blood vessels to thicken or more tiny vessels to extend to replace the work of this thick vessel.

In fact, even with ten or twenty tiny vessels tasked with the blood transfer work, their efficiency still does not meet the original requirements.

In this case, when there is a problem with the blood supply, a person’s brain will become dizzy and may even temporarily shut down.

This patient’s multiple brain blood supply vessels are blocked or stenosed, which prompted the blood vessels to proliferate from the base of the brain upward, forming a rich collateral circulation in a fan shape.

They traverse the meninges, the brain parenchyma, and then form an abnormal vascular network at the base of the brain.

"Damn, isn’t this moyamoya disease?"

Li Jingsheng is not unfamiliar with this brain disease.

Because his online medical supplies operator — Wen Tianqi often experiences paroxysmal headaches, dizziness, which improves somewhat after Li Jingsheng’s massage treatment. He somewhat suspects that Wen Tianqi has this disease.

Now the changes in this female patient’s brain blood vessels highly match moyamoya disease.

However, it cannot be simply classified as pure moyamoya disease.

Because she has a malformed lesion in a part of her cerebral arteries.

It’s very likely that this malformation is congenital.

He deduces that the malformation in this cerebral artery may result in a domino effect affecting the related vessels, causing them all problems.

It seems Director Luo’s reminder was correct. 𝒇𝒓𝙚𝒆𝔀𝓮𝓫𝒏𝓸𝙫𝓮𝓵.𝓬𝙤𝙢

There must be a reason for the changes in the vessels.

When there is a massive proliferation of blood vessels in the patient’s brain, the body is making great efforts to save itself, proliferating numerous collateral vessels or making the original tiny vessels thicker to meet the body’s needs.

[Congratulations on comprehending neurosurgical diagnostic skills.]

[Neurosurgical diagnostic +1, life value +1. You have successfully diagnosed a super high difficulty case, life value +1000.]

Successfully comprehending neurosurgical diagnostic skills was no surprise.

Li Jingsheng had long had this premonition.

After all, he has diagnosed multiple neurology and neurosurgery cases recently.

There is already a substantial foundation in this area.

The life value reward is a whole thousand points, which makes him extremely surprised and delighted.

Doing good deeds and good things is still very nice.

There’s almost always some unexpected reward.

He promised Lian Tao to improve the colonoscopy skills within a month. The sudden surge in a thousand life value points also makes him feel much less pressure.

The issue of the female patient has been identified now.

But how to solve it?

Li Jingsheng is not skilled in this aspect of treatment, given the patient’s condition, it very likely needs craniotomy surgery.

The surgical plan, costs, and whether it requires one procedure or needs to be performed multiple times?

All these need to be understood clearly.

There are many experts at the People’s Hospital, even though Professor Wang Weiwei is neither a neurosurgery nor neurology expert, upon seeing this DSA result, he must have already identified the problem.

However, the family did not mention it to Li Jingsheng.

Li Jingsheng speculated that Professor Wang might be worried about breaching protocol.

After all, the patient was received by Li Jingsheng, and was treated at his clinic. Asking him for help with a checkup should not lead to taking over the patient.

It is precisely for this reason that Professor Wang did not tell the family what the disease was or suggest treatment at the People’s Hospital.

"Old Wang is indeed a decent man!"

Li Jingsheng thought to himself.

However, his small clinic just cannot handle this patient currently.

This matter still needs to be discussed with Professor Wang.

Li Jingsheng immediately dialed Wang Weiwei’s WeChat voice call.

Since WeChat became popular, the mobile company’s business has basically become redundant.

For sending text messages, WeChat is free.

Text, pictures, short videos, voice; send whatever you like.

A mobile text message costs ten cents apiece.

Except for strangers or people not very familiar communicating, friends and acquaintances mostly no longer use mobile text messaging.

Making phone calls is unnecessary as well, WeChat voice and video are very convenient.

And still free.

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