Chapter 187 Diagnosis: Meige Syndrome
Yang Ke’s violent reaction frightened the man.
After all, he really didn't do that.
But Wei Ping seemed to have noticed something.
"Are you cured? What is the disease?" Wei Ping asked again.
"I went to the ENT department and they said it was blepharospasm, and the doctor prescribed me some medicine!"
After hearing what the man said, Yang Ke didn't say anything else.
After all, it's just eyelid spasm, not intentional winking at you.
"Doctor Wei, I...I'll go first!" Yang Ke said somewhat embarrassedly.
"Doctor Yang, wait a minute!"
"ah?"
Yang Ke felt ashamed, but Wei Ping asked her to wait.
The man was puzzled.
"What's wrong with me?"
"Your disease is not blepharospasm! It's something else."
Because Wei Ping saw some changes, the man's facial nerves were infected.
"I made an appointment with the chief doctor. He said it was blepharospasm, but you said it wasn't. You guys are such weird people!" The man's reaction became a little exaggerated.
Is it really okay for you to question this?
"Sometimes when you open your eyes, do you have to open your mouth first?" Wei Ping asked back.
This is a typical symptom.
The man didn't answer.
That's what it looks like.
“Sometimes my eyes get dry and my eyes twitch uncontrollably!”
"Ah? Yeah, the director didn't ask me these questions just now. What should I do then?"
Sometimes when doctors see too many patients, they may overlook some of their problems.
The man was shocked by Wei Ping.
Because I have all the symptoms he mentioned.
Then he must know what the disease is.
"You have Meige syndrome!"
"Huh? What kind of disease is that? Why does it have a foreign name? Is it an infectious disease imported from abroad?"
The man was puzzled.
Meige syndrome is a group of extrapyramidal disorders first described by the French neurologist Meige.
But it was useless for Wei Ping to explain these.
The main manifestations of Meige syndrome are blepharospasm, oromandibular dystonia, and dystonia-like involuntary movements of the face.
"Have you ever had a viral infection before?"
"I had a tooth pulled at a small clinic a while ago, and my mouth was swollen for several days afterwards."
Then it can be basically concluded.
At this time, Yang Ke asked: "What causes Meige syndrome? I think he is very healthy."
Little is known about Meige syndrome.
Because the probability of it happening is low.
If you don’t receive relevant knowledge, you won’t know that this disease exists.
Perhaps a specialist doctor would understand this better.
"There are five main causes. The first is infection: Facial nerve infection is one of the most common causes of Meige syndrome. Many infections do not start on the face, but other diseases, if not treated promptly, can cause the virus to migrate and affect the face.
Second, neurogenic: changes in nerves lead to Meige syndrome, such as brain diseases, which eventually develop into facial blood vessels compressing nerves, etc. Some head and facial trauma can also lead to nerve compression and neurogenic reactions.
Third, iatrogenic: Meige syndrome is caused by surgery or other treatments performed in the hospital, such as parotid surgery, mastoid surgery, dental treatment, tonsillectomy, etc.
Fourth, family inheritance: Meige syndrome has family genetic factors. If a family member suffers from this disease, the chance of developing the disease will increase.
Fifth, mental factors: These can be caused by emotional shock and psychological trauma; inability to adapt to the social environment, prolonged mental tension and depression, long-term high-pressure work, mental labor, prolonged sitting, staying up late, and irregular lifestyles; and personal factors, such as poor mental quality, low resistance, low self-esteem, unwillingness to interact with others, and a withdrawn personality, which can easily lead to Meige syndrome after setbacks.
"Then it's possible that he got it from medical source?"
"Yes, it's the problem of infection caused by medical reasons."
At this point, the man said angrily, "I'm going to ask this little clinic for compensation. I got sick for no reason. It's so infuriating!"
Some small clinics do not provide standardized treatment, which may cause unnecessary infections.
"By the way, doctor, what will happen if this disease is not treated?"
"This disease will develop from top to bottom. Whichever muscle it invades will cause spasms similar to your eye spasms. If it is not treated in time, it will bring a lot of pain to your life." Wei Ping said truthfully.
"What? Is it that serious? My eye alone is already causing me so much discomfort. If it spreads to my entire body, I won't be able to do a lot of things."
"Yes, if it is not treated in time, the consequences will be serious."
"How do we treat it?"
"Come to my office and I'll prescribe some medicine for you! And then give you a facial massage."
Wei Ping said.
"Are you lying to me?" the man suddenly asked.
After all, he has to be treated as soon as he is encountered.
"The initiative is in your hands, and the medicine I prescribed comes from the pharmacy, and the total price will not exceed fifty yuan. Tell me, do I need to cheat you for fifty yuan?" Wei Ping asked back.
The man felt a little embarrassed.
"Sorry, I've been on the upshift too many times before, so I'm a little scared."
"It's all up to you! Think about it yourself. If you've made up your mind, come see me in the emergency department."
"Doctor Wei?"
"Yes, I am Wei Ping!"
"Wait, isn't that Doctor Three Punches?"
Wei Ping nodded.
Didn't deny it.
"Okay, I'll go right away. I'm sorry I didn't recognize you just now. I tried to get an appointment with you before, but it was so hard to get one, so I went to get an appointment with the director. Thank you, Doctor Wei!"
"No! It will be fine soon!"
"What medicine do I need?"
"What you need is some antiviral drugs, some nerve nourishing drugs, and if necessary, some small doses of hormones, but it depends on the situation."
"Okay, I'll follow Doctor Wei's instructions."
At this time, an intern asked: "Brother Wei, what are the general standard treatments?"
"Take this patient as an example, his condition was caused by nerve infection, so the focus was on nerve treatment.
Treatment primarily includes medication, acupuncture, and physical therapy. In the acute phase, low-dose corticosteroids can be used, typically 30mg of prednisone, taken orally once daily at 8 a.m. for three consecutive days, then gradually tapered. Neurotrophic medications, including vitamins B1 and B12, or methylcobalamin or adenosylcobalamin can also be administered. Antiviral medications, such as acyclovir, are also commonly used.
"So that's it." Everyone said in surprise.
"Okay, it's getting late, let's go back quickly!" Wei Ping said again, and the man went to the emergency department with everyone.
Continue read on readnovelmtl.com
