The patient is L.N.T (14 years old, from Vi Thanh district, Hau Giang province), who suffered a hemorrhagic stroke due to Galen vein occlusion.
According to relatives, the patient used to have a dull headache that lasted for a while and then went away. However, recently the patient had a severe headache accompanied by symptoms of stomachache and vomiting. On the third day, the patient began to fall into a coma. The family immediately transferred the patient to the emergency room at Can Tho Children's Hospital.
Here, based on the child's symptoms, doctors at Can Tho Children's Hospital suspected that the child had a stroke. Therefore, the doctors contacted and consulted with a specialist in Neurology and Endovascular Intervention at SIS Can Tho International General Hospital. After that, medical staff and family members took the child to SIS Can Tho International General Hospital for a brain MRI.
The results showed cerebral hemorrhage and cerebral edema in the thalamus. Doctors from the two hospitals consulted and gave a definitive diagnosis of cerebral hemorrhage due to Galen vein occlusion. After the consultation, the family took the child to the S.I.S Can Tho International General Hospital for emergency treatment.
Master, Doctor Le Minh Thang - DSA Vascular Intervention Unit, S.I.S Can Tho International General Hospital (doctor directly intervening for the patient) - said that this patient's case is quite rare in reality. Based on the MRI results, the patient's condition was quite severe, with cerebral hemorrhage combined with thalamic edema, requiring early intervention to clear the blocked vein.
“We performed an intervention to remove many blood clots in the vein of Galen and the straight sinus; cleared the blocked vein. After the intervention, the patient was actively resuscitated, and maintained oral anticoagulants to prevent blood clots. After a period of treatment, the patient's perception and muscle strength improved, he could walk, and his headaches were gone…”, said Dr. Thang.
According to Dr. Thang, for the health and future of their children, parents should pay close attention when they discover that their children have symptoms of persistent headaches, convulsions, hemiplegia, vomiting, drowsiness, etc. They need to take them to a specialized hospital for timely diagnosis and treatment by a doctor. If families hesitate to take their children to the hospital late, they will miss the best treatment opportunity, affecting the recovery process and comprehensive development of the child later on.
