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Diagnostic and treatment of Arteriovenous malformation AVM

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Cost for treatment

Brain AV-Malformation (AVM) diagnosis
 from  881
Radiosurgery (Gamma Knife) of arteriovenous malformation (AVM)
 from  10969
Treatment of av-malformation of brain using platinum coils embolization (coiling)
 from  17215

Sana Hospital Duisburg

9.8/10
location_onGermany, Duisburg

Department of Neurosurgery

The Sana Hospital Duisburg is a maximum care medical center with 678 beds and 17 specialized departments. With the very latest innovations and high quality patient care, the clinic works for the benefit of a person and their health. The hospital ranks among the leading clinics in the region. In 2013, the hospital
Brain AV-Malformation (AVM) diagnosis
3177
Treatment of av-malformation of brain using platinum coils embolization (coiling)
21230
Treatment of brain av-malformation with partial resection and coiling
38139

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of Adult and Pediatric Neurosurgery

According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! The hospital is one of the largest and leading university medical complexes in Europe. The hospital in Germany provides modern diagnostics and treatment of patients, a
Brain AV-Malformation (AVM) diagnosis
4329
Treatment of av-malformation of brain using platinum coils embolization (coiling)
34111
Treatment of brain av-malformation with partial resection and coiling
57750

Memorial Bahcelievler Hospital Istanbul

9.2/10
location_onTurkey, Istanbul

Department of Adult and Pediatric Neurosurgery

The Memorial Bahçelievler Hospital Istanbul is an advanced multidisciplinary medical center that began its clinical practice in 2018. It is part of the world famous Memorial Healthcare Group. The hospital was designed in accordance with the very latest standards of modern architecture with the aim of providing top-class m
Brain AV-Malformation (AVM) diagnosis
1410
Treatment of brain av-malformation with partial resection and coiling
24976

University Hospital HM Monteprincipe Madrid

9/10
location_onSpain, Madrid

Department of Neurosurgery

The University Hospital HM Monteprincipe Madrid is rightfully recognized as one of the best and most advanced medical facilities in Madrid and throughout the whole country. The hospital was opened in 1998 and in a short time has become a worthy example of top-class medical services. The hospital is part of the HM Hospitales Grou
Brain AV-Malformation (AVM) diagnosis
1192
Treatment of brain av-malformation with partial resection and coiling
19991

University Hospital for Neurosurgery Salzburg

9.6/10
location_onAustria, Salzburg

Department of Neurosurgery

University Clinic of Neurology specializes in the surgical treatment of acute and chronic diseases of the central and peripheral nervous system, its blood supply, and nerve sheaths, as well as in preoperative and postoperative care for patients. Tumor formation of the brain and spinal cord, vascular diseases of the central nervo
Brain AV-Malformation (AVM) diagnosis
2553
Treatment of brain av-malformation with partial resection and coiling
42726

University Hospital Freiburg

9.7/10
location_onGermany, Freibung

Department of Adult and Pediatric Neurosurgery

The University Hospital Freiburg is famous for its rich history and is one of the oldest and most prestigious medical facilities in Germany (one of the three best medical institutions in the country). The hospital was based on the Faculty of Medicine of the Albert Ludwig University of Freiburg, which celebrated its 550th anniver
Brain AV-Malformation (AVM) diagnosis
3512
Treatment of av-malformation of brain using platinum coils embolization (coiling)
25908
Treatment of brain av-malformation with partial resection and coiling
42904

Tel Aviv Sourasky Medical Center

9.9/10
location_onIsrael, Tel Aviv

Department of Neurosurgery

The Tel Aviv Sourasky Medical Center is the second largest and one of the most advanced healthcare and research facilities in Israel. It began its work in 1961, but it is still popular among the local population and attracts thousands of international patients. The multidisciplinary medical center covers an area of ​​150,000 m&s
Brain AV-Malformation (AVM) diagnosis
2166
Treatment of brain av-malformation with partial resection and coiling
34907

Primus Super Speciality Hospital New Delhi

9/10
location_onIndia, New Delhi

Department of Adult and Pediatric Neurosurgery, Neurology

The Primus Super Speciality Hospital New Delhi is a modern medical facility, which is distinguished by extremely high quality and standards of medical service. The hospital is located in the heart of New Delhi, in the capital of India. During its design and construction, the most advanced medical technologies from around the wor
Brain AV-Malformation (AVM) diagnosis
881
Treatment of brain av-malformation with partial resection and coiling
15359

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of Adult and Pediatric Neurosurgery

According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about
Brain AV-Malformation (AVM) diagnosis
3105
Treatment of brain av-malformation with partial resection and coiling
37823

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of Adult and Pediatric Neurosurgery

According to the Focus magazine, the University Hospital Erlangen ranks among the top German medical facilities! The hospital is one of the leading medical facilities in Bavaria and offers the highest level of medical care, which is characterized by the close intertwining of clinical activities with research and training of medi
Brain AV-Malformation (AVM) diagnosis
3327
Treatment of av-malformation of brain using platinum coils embolization (coiling)
23944
Treatment of brain av-malformation with partial resection and coiling
40239

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

Department of Adult and Pediatric Neurosurgery

According to the prestigious Focus magazine, the University Hospital Carl Gustav Carus Dresden is among the top three hospitals in Germany! The hospital is the embodiment of the standards of modern high-quality medicine. Since the hospital positions itself as a maximum care medical facility, it represents all medical fields. The
Brain AV-Malformation (AVM) diagnosis
3987
Treatment of av-malformation of brain using platinum coils embolization (coiling)
30003
Treatment of brain av-malformation with partial resection and coiling
50323

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of Adult and Pediatric Neurosurgery

According to the Focus magazine, the University Hospital Hamburg-Eppendorf ranks among the top ten hospitals in Germany! Since its foundation in 1889, the hospital has taken a leading position in the European medical arena and still occupies it until today. A highly competent medical team of more than 11,000 employees takes care
Brain AV-Malformation (AVM) diagnosis
3856
Treatment of brain av-malformation with partial resection and coiling
50668

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of Neurosurgery

The University Hospital Ulm started its activities 35 years ago and during this time it has become one of the most prestigious medical institutions in Europe. The hospital is famous for its numerous discoveries and the world-class achievements in medicine and pharmaceuticals. The medical facility has 29 specialized departments a
Brain AV-Malformation (AVM) diagnosis
3255
Treatment of av-malformation of brain using platinum coils embolization (coiling)
24336
Treatment of brain av-malformation with partial resection and coiling
40641

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of Adult and Pediatric Neurosurgery

According to the Focus magazine in 2019, the University Hospital Würzburg ranks among the top national German hospitals! The hospital is one of the oldest medical facilities in Germany. The centuries-old traditions of first-class treatment are combined with the very latest achievements of modern evidence-based medicine and
Brain AV-Malformation (AVM) diagnosis
3148
Treatment of av-malformation of brain using platinum coils embolization (coiling)
22570
Treatment of brain av-malformation with partial resection and coiling
38017

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of Adult and Pediatric Neurosurgery

According to the Focus magazine, the University Hospital Heidelberg ranks among the top five hospitals in Germany! The hospital is one of the most advanced and reputable medical institutions not only in Germany, but throughout Europe. There are more than 43 specialized departments and 13 medical institutes, which cover all field
Brain AV-Malformation (AVM) diagnosis
0
Treatment of av-malformation of brain using platinum coils embolization (coiling)
0
Treatment of brain av-malformation with partial resection and coiling
0

University Hospital Bonn

9.2/10
location_onGermany, Bonn

Department of Neurosurgery

According to the authoritative Focus magazine, the University Hospital Bonn ranks among the top ten medical facilities in Germany! The hospital was opened on January 1, 2001, although in fact it inherits the medical facility, which operated at the Faculty of Medicine of the University of Bonn. The hospital in Germany combin
Brain AV-Malformation (AVM) diagnosis
3477
Treatment of brain av-malformation with partial resection and coiling
42907

About the disease

Av-malformation of brain is an abnormal tangle of abnormal blood vessels that connect the arteries and veins in the area of the brain. Overall, arteries are responsible for the transportation of blood from heart to brain Moreover, this blood must be rich in oxygen, that's why arteries contain special oxygen-cells. Blood which does not have an oxygen is carried to lungs and back to the heart, because brain can naturally accept only oxygen-cells blood. In case av-malformation this process of blood interchange becomes disrupted. It means that blood with oxygen and blood without oxygen mix and create chaos. Av-malformation can develop in any part of the body, but most often if effects brain and spine. Brain av-malformation is very rare disease with 1% of world population having it.   

Cause of brain malformation still remains unknown. It is a congenital disease, but it manifests itself when a person is in his adulthood. It is not transmitted genetically, which means that this disease appears absolutely randomly.

First symptoms of av-malformation may appear at the age of 11-12. Some patients begin to feel the rupture of brain tissues only when they are 40 or 50. Symptoms gradually build up and become more and more severe over the course of several years. Sometimes brain malformation manifests itself during pregnancy, when a woman suddenly experiences hemorrhage of brain tissues and severe headaches. Nevertheless, brain malformation is more common in men that women. According to Brain Foundation.org, which is a medical site, if the first symptom of this disease was hemorrhage, it can become fatal in 10%. That`s why timely treatment is so important.

Symptoms

  • Hemorrhage of the brain vessels
  • Rupture of certain brain tissues
  • Constant pain in one specific area of the head
  • Some muscles become weak and can not function as before
  • Body becomes numb
  • Patient may lose vision partially or fully
  • Coordination becomes unsteady and unbalanced

The most dangerous type of brain malformations is called the Galen defect. This defect is inborn and it can appear either after the birth or during the first months of baby`s life. If the person has the Galen effect, the blood vessels start to accumulate in his rain to the point when the head swells enormously. The swelling is especially seen on the scalp and near the neck. Because of this swelling brain experiences compression and the fluid, which was earlier directed in specific areas of the brain, starts to freely flow in any part of the hemisphere. The Galen defect may also cause various heart diseases, because the blood does not return properly back to the heart.

Diagnosis

The most common diagnostic method for this disease is brain scan. Doctors may also use the cerebral arteriography during which the location of arteries is revealed. Magnetic imaging can also be quite effective. It helps to obtain the microscopic image of the brain with its smallest deviations from the norm. It can also detect if there`s an excessive amount of blood in the brain.

Treatment

The most dangerous complication of brain malformation is the brain hemorrhage, that`s why  treatment of malformation mostly aims to prevent or stop bleeding and future seizures. Medicine in this case may only alleviate the pain and reduce the number of headaches, that's why it's important to undergo surgery. There are such surgical options:

  • Partial resection and coiling, when a doctor inserts catheter into hip vessel to pack coils  into aneurysm. It is done to prevent blood flow from inundating aneurysm. The doctor can track the catheter through the X-Ray which shows its exact location. Coiling may reduce size of the malformation and prevent further bleeding.
  • Platinum coils embolization (coiling) is a more modern procedure, which also uses coils to hamper blood flow, but in this case doctor uses coils made of platinum.
  • Resection of AVM. During the resection the surgeon makes an incision and opens a skull. After that he identifies the exact location of the damaged brain tissue and removes the malformation around this. If the malformation is located too deep, neurosurgeon simply can not reach it and in that case he can use other treatment options.
  • Radiosurgery. During the radiosurgery the doctors use radiation to destroy the malformation. In this case the irradiation scatters damaged cells. If malformation is too big, it is impossible to make the cells vanish. The biggest drawback of radiosurgery is that the cells, which formed the malformation before, may gather again and create even a bigger problem. Moreover, the irradiation has a long line of serious side effects: the immune system of the person weakens, he loses his hair, his skin worsen and general health condition deteriorates. That`s why it is more preferable to undergo the surgery. Recent advances in medicine allow the doctors to almost diminish the malformation with the microsurgery, which can reach the most distant cells and prevent their future growth. The most modern type of radiosurgery is Gamma Knife, which is less traumatic than surgery.

After treatment was finished patients need to undergo the regular check-ups and to maintain the healthy lifestyle. For instance, patients are advised to undergo course of physical therapy and to avoid any stressful situations in future, which can cause the hemorrhage of the bain. Patients also need to regularly control their blood pressure. If it is high, they are prescribed drugs that can normalize the blood flow and prevent hypertension. 




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