Conditions & Diseases
Brain AVMs
What are Brain AVMs?
Arteriovenous malformations (AVMs) in the brain are abnormal clusters of blood vessels that connect arteries and veins, disrupting the normal blood flow. These formations affect the brain and spinal cord, although they are relatively rare. The exact cause of brain AVMs remains unknown, but they are typically present from birth and can sometimes run in families. While some individuals with AVMs may not exhibit symptoms, others may experience headaches, seizures, muscle weakness, and neurological issues. The most critical complication of brain AVMs is bleeding, which can lead to severe consequences.
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Symptoms
Brain AVMs can often remain asymptomatic until they rupture and cause bleeding (hemorrhage). Hemorrhage is the initial symptom in approximately half of all brain AVM cases. However, individuals with AVMs may also experience symptoms such as seizures, one-sided head pain, muscle weakness or numbness in a limb, severe headaches, vision problems, speech difficulties, confusion, and unsteadiness. Symptoms typically arise between the ages of 10 and 40, with potential long-term consequences if not addressed promptly.
Diagnosis
To diagnose brain AVMs, a healthcare professional will conduct a physical examination and evaluate the patient’s symptoms. Specialized neuroradiologists, trained in brain and nervous system imaging, may perform several diagnostic tests, including:
Cerebral Angiography: This comprehensive test involves threading a catheter through blood vessels to the brain to create a detailed image of the AVM, aiding in treatment planning.
Computerized Tomography (CT) Scan: CT scans use X-rays to generate cross-sectional images of the brain, while a contrast dye can enhance visibility of the AVM and related blood vessels.
Magnetic Resonance Imaging (MRI): MRI provides highly detailed images of the brain, including subtle tissue changes associated with AVMs. It is more sensitive than CT scans and helps in treatment decision-making.
Magnetic Resonance Angiography (MRA): By injecting a dye, MRA visualizes blood flow in the brain and identifies the precise location of the AVM.
Treatment
The choice of treatment for brain AVMs depends on factors such as the patient’s age, overall health, AVM size, and location. Treatment goals primarily focus on preventing bleeding and addressing associated symptoms, including headaches and seizures. Treatment options include:
Drug Therapy: Medications may be prescribed to manage AVM-related symptoms such as headaches and seizures.
Surgery (Resection): Surgical removal of the AVM is an option when it poses a risk of bleeding and is accessible without significant complications. Surgeons meticulously detach the AVM from surrounding brain tissue and repair the skull.
Endovascular Embolization: This minimally invasive procedure involves inserting a catheter into the arteries feeding the AVM and using embolizing agents to block blood flow, reducing AVM size or bleeding risk.
Stereotactic Radiosurgery (SRS): SRS utilizes precisely focused radiation beams to scar the AVM, causing gradual clotting of blood vessels over time. It is suitable for small, difficult-to-reach AVMs.
Monitoring: In cases with few or no symptoms or in challenging-to-treat brain locations, doctors may recommend routine monitoring rather than immediate treatment.
Prompt diagnosis and appropriate treatment are crucial to managing brain AVMs and reducing the risk of life-threatening complications. If symptoms suggestive of a brain AVM, such as seizures or severe headaches, arise, seeking urgent medical attention is essential.
Healwise provides solutions for individuals facing health challenges like Brain AVMs. Through our global network of accomplished doctors and leading healthcare facilities, we offer a range of advanced therapies designed to address Brain AVMs effectively. Our comprehensive options include Microspiral Embolization, Microspiral Embolization with Stent, Flow Diversion, Embolization, Angioplasty, and Endovascular Occlusion, Embolization, or Sclerotization. These state-of-the-art procedures are delivered by world-class specialists who prioritize your well-being.
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