Arteriovenous malformation (AVM): Compare Costs for a treatment abroad

Don't panic if you were diagnosed with Av-malformation. This disease can be treated with modern treatment techniques. Av-malformation of brain is an abnormal tangle of abnormal blood vessels that connect the arteries and veins in brain. Overall, arteries are responsible for the transportation of blood from heart to brain. This blood must be rich in oxygen, that's why arteries contain special oxygen-cells. Blood which does not have oxygen is carried to lungs and back to the heart, because brain can naturally accept only oxygen-cells blood. In case of Av-malformation this process of blood interchange becomes disrupted. It means that blood with and without oxygen mixes and creates 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 does not pass genetically, which means that this disease appears absolutely randomly.

First symptoms of Av-malformation may appear at the age of 11-12 years. Some patients begin to feel the rupture of brain tissues only when they are 40 or 50 years old. 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 than women. According to Brain, which is a medical site, if the first symptom of this disease is hemorrhage, it can become fatal in 10% of cases. That`s why timely treatment is so important.


  1. Symptoms
  2. Causes
  3. Diagnosis
  4. Treatment

Av-malformation symptoms

  1. hemorrhage of the brain vessels
  2. rupture of certain brain tissues
  3. constant pain in one specific area of the head
  4. some muscles become weak and can not function as before
  5. body becomes numb
  6. patient may lose vision partially or fully
  7. 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 brain 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.

The diagnosis of Av-malformation

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 an excessive amount of blood in the brain.

Treatment of Av-malformation

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 number of headaches, that's why it's important to undergo surgery. There are such surgical options:

Partial resection and coiling is an Av-malformation treatment, 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 cannot reach it and in that case he can use other treatment options.

Radiosurgery. During the radiosurgery 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 worsens, 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 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 in the brain. 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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Booking Health offers the following options of treatment for this diagnosis.

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Platinum coils embolization (coiling)
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Partial resection and coiling
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Radiosurgery (Gamma Knife)
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Best hospitals for Arteriovenous malformation (AVM) treatment

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location_onCountry: Germany
location_searchingCity: Aachen

RWTH University Hospital Aachen

Gamma Knife has been installed since July 1998 in the University Hospital Aachen and it is operated in cooperation with the Department of Neurosurgery and the Department of Radiotherapy. Since then, around 1,800 patients with various diseases (statistics of 01.

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location_onCountry: Germany
location_searchingCity: Essen

Alfried Krupp Hospital in Essen-Ruettenscheid

The Department of Neurosurgery at the Alfried Krupp Hospital in Essen focuses on the following tasks and areas: microsurgery, vascular brain surgery, brain tumors, skull base surgery, spinal column surgery, traumatic brain injury, peripheral nerves, pain therapy, radiosurgery.

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