While playing golf in Hoa Binh, a 46-year-old man, Korean nationality, suddenly had a severe headache and vomited a lot.
He was taken to the emergency room at Hoa Binh Provincial Hospital, CT scan of the brain showed bleeding under the spider. He was transferred to the Stroke Center, Bach Mai Hospital, Hanoi.
Stroke Center doctors suspect that the patient’s bleeding under the arachnoid is due to a deformity of the brain vessel. Cerebral angiography revealed diffuse subarachnoid bleeding, ventricular bleeding due to rupture of aneurysm separating the vertebral artery.
“This is a difficult, complex and sophisticated lesion that requires an in-depth and experienced radiologist to diagnose,” said Dr. Mai Duy Ton, Director of Stroke Center, Bach Mai Hospital, shared on March 1.
Doctors said that this is a severe stroke, the risk of cerebral artery rupture is very high, the patient will die without emergency intervention. The patient was consulted by a multidisciplinary specialist: Stroke Center, Photoelectric Center, Department of Neurosurgery unanimously conducted emergency photoelectric intervention. Neurosurgery specialist team ready, to prevent complications from rupture, two will be emergency surgery.
The location of cerebral vascular damage is very dangerous, very difficult to intervene and has a very high risk of complications of cerebral stem infarction. After more than an hour of stress, the intervention was successful.
Dr. Ton said the vascular intervention is complete, but it is only one step in many comprehensive treatment steps for patients with bleeding under the arachnoid – ventricular bleeding. A few days later, the Stroke Center cooperated with the Rehabilitation Center to provide treatment and early, in-bed rehabilitation for the patient.
After 12 days of active treatment, the patient’s condition gradually stabilized and progressed well. The patient is awake, communicable, self-breathing, and hemodynamic is stable. The patient was then transferred to the Traditional Medicine Institute of the Ministry of Public Security for rehabilitation treatment. He gradually recovered, and requested to return to Korea for further treatment and rehabilitation.
Dr. Ton said in cases like these, prognosis, correct assessment of the patient’s condition, urgently giving a timely and reasonable location plan is a prerequisite for saving lives. In particular, the effective combination between specialties is an advantage for emergency and treatment of critical cases.
From Korea, the patient sent a letter of thanks and congratulation to the medical team of Stroke Center on the occasion of Vietnamese Physician’s Day, February 27.