A 27-year-old male asked:
Disclaimer

i have an arteriovenous malformation (prefrontal cortex). now, also really low mean platelet volume. is the avm's bleeding risk high because of this?

4 doctor answers
Dr. Rhonda Simons
14 years experience Family Medicine
Risk could be higher: If a bleed starts. So control the other factors. Keep blood pressure as low as you can go without getting dizzy. Do you really "need" the adderall (dextroamphetamine and racemic amphetamine)? That could be a risk. Platelet counts can change, check for other clotting disorders, and recheck platelets in 6 months, could resolve on own.
Answered on Mar 21, 2014
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Dr. Liawaty Ho
22 years experience Hematology and Oncology
No not MPV: Mpv does not increase your risk for bleeding. If your platelet level is going down to significant level then it will increase your risk for bleeding.
Answered on Mar 21, 2014
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Dr. Lauren Stegman
26 years experience Radiation Oncology
Treat the AVM: Treating the avm with surgey, an embolization or 1-5 days of highly focused radiation therapy called radiosurgery is the best way to minimize and hopefully eliminate the risk of bleeding in the long run even with low platelets. Speak to a neurosurgeon and/or radiation oncologist to learn about these options.
Answered on Dec 20, 2014
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Dr. Robert Isaacs
38 years experience Family Medicine
Platelets: A low mpv in and of itself is not necessarily a risk factor for bleeding if the total platelet count is normal. If treating the avm is not an option, then do avoid Aspirin and ginkgo biloba, which can both increase bleeding tendency. Speak to your doctor about getting an ivy bleeding time test, as it will tell you how well your platelets are working. And do make sure your BP is not elevated.
Answered on Jun 24, 2014
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1 comment
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Dr. Robert Isaacs
38 years experience Family Medicine
Provided original answer
Pleasure.
Apr 2, 2014

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