Treatment of Angioma of Brain in Germany

Angioma of the brain is a vascular formation that can be a source of bleeding and also cause epileptic seizures. It accounts for up to 10% of all vascular malformations (developmental abnormalities). About 0,5% of the population has angiomas, but they are usually small in size. Their increase in size may cause the compression of functionally important areas of the brain and the development of neurological symptoms.

Content

1. Surgical treatment
2. Radiosurgical treatment
3. Endovascular treatment

Surgical treatment

The standard surgery for cerebral angioma treatment in Germany involves an operation with craniotomy and resection of the neoplasm. When preparing for surgery, doctors assess the risks. Surgeons try not to remove angiomas in clinically significant areas of the brain unless necessary, so as not to cause a neurological deficit. However, the surgery is still performed in the threat of complications.

There is no brain substance in the structure of the angioma, so removal of this neoplasm does not lead to a neurological deficit. The only danger is access to the malformation. Doctors must dissect the brain tissue to reach the angioma. German neurosurgeons carry out the following procedures to reduce the risk of complications:

• minimize the size of encephalotomy (make short incisions);
• use neuronavigation, surgical microscopes;
• use electrophysiological studies to detect functionally significant areas of the brain and bypass them.

Radiosurgical treatment

Radiosurgery implies targeted destruction of vascular neoplasm by radiation within a single session.

This technique is safe and completely painless. It does not require special training or long-term recovery. However, when using stereotactic radiosurgery, it is not always possible to safely remove large angiomas, as the risk of bleeding from the cerebral vessels increases. In addition, the therapeutic effect does not come immediately but after a few months.

Therefore, surgical treatment is considered the main one, while radio-surgical treatment is considered an alternative one. It is used if:

• angiomas are located in deep parts of the brain or near functionally significant areas, which makes their safe microsurgical removal complex;
• patient refuses the operation for any reason;
• surgical intervention is contraindicated due to concomitant diseases.

Endovascular treatment

To reduce the trauma rate of the intervention, doctors perform platinum coil embolization (coiling) and hybrid operations, in which partial resection and embolization with coils are combined. Endovascular interventions can be combined not only with surgery but also with radiation therapy.

The essence of embolization: doctors make an incision in the groin, insert a catheter and deliver spirals into the vascular formation of the brain under the X-ray guidance. Their placement is followed by the formation of blood clots, which shut off the angioma from the bloodstream and thus prevent bleeding. Embolization alone can be used only for small asymptomatic aneurysms.

You can undergo diagnostics and treatment in one of the German hospitals. Removal of cerebral angioma in Germany can be carried out using microsurgical, radio-surgical and endovascular techniques. On the Booking Health website, you can find out how much is the price of the operation. Compare the cost of treatment in different hospitals to book a medical care program at a favorable price. The specialists of Booking Health company will help you choose clinics in Germany and organize your trip.

Authors: 

The article was edited by medical experts, board certified doctors Dr. Nadezhda Ivanisova and Dr. Farrukh Ahmed. For the treatment of the conditions referred to in the article, you must consult a doctor; the information in the article is not intended for self-medication!

Sources:

Medscape