Case Stusies
Dong Run
Gender: Male
Age: 7 years 4 months
Admission condition:
Male patient with a history of pathological jaundice in early childhood.Experienced sudden headache at the age of 4, diagnosed with epilepsy at Linyi Maternal and Child Health Hospital. Previously treated with sodium valproate, specific dosage unknown, and has been seizure-free for 1 year after discontinuation. Video electroencephalogram (EEG) in 2022 showed multifocal spike waves, sharp waves, and slow waves distributed in the right frontal, bilateral frontocentral, parietal, midline, and temporal regions. The child currently experiences drooling, worsened in winter, has poor intellectual ability, limited language expression, hyperactivity, and excitement with episodes of dancing when excited.
Admission Diagnosis: Epilepsy, cerebral developmental delay
Medical Treatment Process
Patient Dong Run, male, 7 years and 4 months old, underwent robot-assisted stereotactic brain surgery under general anesthesia on January 9, 2023, at 17:40 due to epilepsy and cerebral developmental delay. The surgical process was as follows: initially, the head was marked, and then a head CT scan was performed before importing the data into the Remebot robot. The right temporal lobe was selected as the target point, accessed through the right frontal region, and the surgical path was set. The patient was placed in a supine position with the head fixed, underwent routine disinfection and bedding, followed by a local scalp incision and drilling of a skull hole. A needle electrode was used to detect brain tissue resistance after puncturing the dura mater, and then brain monitoring electrodes were implanted. Upon detecting the epilepsy focus, radiofrequency ablation therapy was performed, followed by re-implantation of monitoring electrodes to confirm the disappearance of the epilepsy focus.
Finally, mild electrical stimulation was applied for neuroregulation therapy at the target site. The surgery was smooth with a blood loss of 3ml. Postoperatively, the needle was removed, and the skin was sutured and bandaged. A head CT scan showed no significant bleeding with accurate targeting. The patient returned safely to the ward and received routine intravenous fluids, oxygen therapy, and cardiac monitoring. Vital signs were closely monitored, and symptomatic treatment was provided as needed. The family was briefed on the surgical details.
Discharge Summary:
The patient's condition is currently stable, with no specific discomfort. General condition is good, normal sleep, diet, and physiological functions. Physical examination showed stable vital signs, clear consciousness, and good mental status. All examinations were within normal ranges. The surgical incision has healed well, and the patient can be safely discharged.
Discharge Instructions: