Doctor insights on:
Best Avm Surgeons
Have (complex) orthopedic issues, AVM & TOS. I see an ortho surgeon tomorrow. What questions/requests should I ask of him? How to know he's competent?
You will find your provider to be competent if they are board certified, attentive, and professional. That's a good place to start.
Focus on the most important issue to you, although be sure to review past history. TOS is a difficult diagnosis to make and to treat, be patient, if they can help you, they will be happy to see you get better as soon as possible. ...Read more
Depends on AVM: Treatment options depend on the size, location/eloquence of brain involved, venous drainage pattern. Options include surgical resection with or without embolization, embolization alone for possibly very small lesions, radiosurgery, or observation. There are some lesions, even in this day and age, that are essentially inoperable. All avm patients need an MRI and angiogram then neurosurgeon eval. ...Read more
Surgery: No real treatment unles very symptomatic or riskk oof losing a kidney although the likelyhood of this necessity is small as long as the kidney functions normally. However as you have two kidneys you may not know when and if this kidney faiils without continual followup with your physician and routin urin evaluations. ...Read more
AVM or AVN?: Avn refers to loss of blood supply to a part of a joint and damage that can lead to collapse of bone and joint destruction, it can involve any joint, most commonly hip, knee or shoulder. In avn exercise limitations depend on the joint involved and the stage of the damage. Avm is an arteriovenous malformation, some can be of minimal clinical significance and others, (brain) can be deadly. ...Read more
Depends: There are a variety of mechanisms that lead to vascular malformations. Some are related to familial predispositions while other are purely sporadic errors in the process of development. ...Read more
It depends: Avm is arterial venous malformation. I assume you are concerned about this in the brain. Large ones near the surface can be treated by direct removal. Directed emboli can close off feeders. Directed radiation can shrink some. Deep lying types often need to be left alone. Genetic types can be multiple including in the kidneys. In children they can cause heart failure and seizures. ...Read more
Yes but not likely: Dizziness, ringing in the ears, and nausea are the the primary symptoms of meniere's disease. This disease is more common than aterio venous malformations. Nevertheless an avm which is located in certain areas of the brain could reproduce some of these symptoms but the common causes are more likely. ...Read more
Brain vessels: Both are potential sources of brain bleed. Avm is an abnormal tangle of brain blood vessels connecting from artery to vein, aneurysm is an outpouching or bubble on an artery with a weak wall. Both can rupture. Both are treated by neurosurgeons or other cerebrovascular specialists. Sometimes an aneurysm can form on the feeder vessel of an avm. ...Read more
Complex question: Surgery for AVM often depends on location, compression, prior bleeding or seizures, and risk of future strokes or hemorrhage. Some AVM's do affect memory circuits, and successful treatment may effect improvement. Best to do pre-operative neuro-psych testing, and assess current effects. ...Read more
Congenital: Cerebral avms are a "tangle" of arteries and veins that a person is born with. These can present with associated neurologic symptoms (weakness) or seizures. There is about a 3% risk of bleeding per year that is cumulative. Treatment can be multimodality and includes embolization, surgery and radiation. The risks of treatment depend on size and location of the avm. ...Read more
Depends: Depends on the size and also if it was completely excised. If not totally resected it can come back. ...Read more
My husband has a spinal AVM born with it. What's the main risk with this? I know it's serious they said his had bled
Careful evaluation: Spinal AVM need careful evaluation and very specific treatment based on size and location. Risks depends on size, location and proximity to other structures nearby the AVM ...Read more
Are avm common in adults that were born prematurly? I am 25 now was born at 51/2 months and want to get pregnant soon but afraid I have a unknown avm
No: Avms of the brain are not seen with increased frequency in premature babies as they become adults. The incidence is estimated at 1/100, 000/year. Relatively infrequent occurrence. Unless you have persistent headaches, seizures, or a neurologic deficit that would necessitate an MRI (which would rule in or out the presence of an avm). The fear of having one should be lessened as you try for pregna. ...Read more
I had avm surgery (head) about 5 years ago. I am experiencing heaviness and some times pain on the right side of my head where the old operated side.
Procedure: Stomach avms (artero-venous malformations) are common causes of GI bleeding. These can be very frustrating to treat as they are not the same as ulcers or gastritis that also cause bleeding and are treated by acid reducing or stomach coating meds. If they bleed, an egd is usually needed for coagulation or chemical scarring therapy. Be gentle with your stomach and no/moderate alcohol, caffeine, smoke. ...Read more
Many arteriovenous malformations (avm) are on the surface and can be seen.
Others can be deep, and/or large and may make noise (bruit) or affect limb size, create secondary symptoms-heart failure.
The usual small ones of childhood may resorb or shrink over time. Others may need intervention or surgery. ...Read more
Depends on location: Avms may present with a bleed, which may be manifest as a headache or alteration in level of consciousness. Patients may also present with a seizure. This is from the ischemia to the surrounding brain as most of the blood to the area is going to the avm rather than the brain. Focal motor deficits may occur if the avm causes adjacent brain (motor area) to suffer from a shunting of blood to the avm. ...Read more
Anatomic: An avm or ateriovenous malformation occurs when there is a direct communication between an artery and vien. An aneurysm is a weakening in the wall of an artery which can cause it to enlarge. Avm's can be secondary to trauma, hereditary, and other causes. Aneurysms can be caused by trauma, athrosclerosis, infection, or hereditary. The anatomic location is important. ...Read more
Inderal (propranolol): Persons with vascular malformations are more prone to vascular headaches. These are often migraine in nature, but are more complex to treat. Inderal helps with many. If eeg is abnormal, use of topamax (topiramate) may be beneficial. Try to avoid ergots or high dose aspirin. Combination Imitrex and naprosyn may be helpful. ...Read more
If I had AVM since I was born? Would I have symptoms by now? Wouldn't it have gotten bigger and cause headaches?
AVM: Most AVM don't expand and are in the proportion in the brain. They don't cause headaches. When they bleed, they may cause seizures or stroke like episodes, best to discuss with your doctor. ...Read more
Brain Blood Vessels: In the brain, an avm is typically a twisted tangle of blood vessels where is an abnormal connection between arteries and veins. These can also be present in other parts of the body. Brain avm's carry a risk of bleeding if left untreated. They can also become symptomatic due to seizures and steal phenomenon (altered blood flow). ...Read more