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Treatment of Av-malformation of Brain

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Cost for treatment

Brain AV-Malformation (AVM) diagnosis
 from  886
Treatment of av-malformation of brain using platinum coils embolization (coiling)
 from  17215
Treatment of brain av-malformation with partial resection and coiling
 from  15232

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

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

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 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 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

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 Erlangen

9.1/10
location_onGermany, Erlangen

Department of Adult and Pediatric Neurosurgery, Spinal Surgery

According to the Focus magazine, University Hospital Erlangen ranks among the best medical facilities in Germany! The hospital is one of the leading healthcare facilities in Bavaria and offers top-class medical care distinguished by the close intertwining of clinical activities with research and training of medical students. The
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 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 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 Essen

9.6/10
location_onGermany, Essen

Department of Adult and Pediatric Neurosurgery

According to the authoritative Focus magazine the University Hospital Essen ranks among the top German hospitals! With 27 specialized departments and 24 institutes, the hospital in Germany is a maximum care medical facility. The hospital has 1,300 beds for inpatient treatment. A highly qualified medical team of more than 6,000 e
Brain AV-Malformation (AVM) diagnosis
3232
Treatment of brain av-malformation with partial resection and coiling
37709

University Hospital Jena

8.9/10
location_onGermany, Jena

Department of Adult and Pediatric Neurosurgery

According to the prestigious Focus magazine, the University Hospital Jena regularly ranks among the top German medical facilities! The hospital has positioned itself as a multidisciplinary medical facility with a long history of more than 200 years. Since its foundation, the hospital has been constantly developing and modernizin
Brain AV-Malformation (AVM) diagnosis
3546
Treatment of av-malformation of brain using platinum coils embolization (coiling)
23006
Treatment of brain av-malformation with partial resection and coiling
42873

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of Neurosurgery

According to the prestigious Focus magazine, the University Hospital Halle (Saale) ranks among the top German medical facilities! The history of the hospital has more than 300 years, and during this time it managed to earn an excellent reputation not only in Germany, but throughout the world. The hospital positions itself as a s
Brain AV-Malformation (AVM) diagnosis
3258
Treatment of brain av-malformation with partial resection and coiling
37785

University Hospital Marburg UKGM

8.6/10
location_onGermany, Marburg

Department of Adult and Pediatric Neurosurgery

The University Hospital Marburg UKGM offers patients modern diagnostics and comprehensive therapy at the international level. As a maximum care hospital, the medical facility specializes in all fields of modern medicine ranging from ophthalmology to traumatology and dentistry. The main areas of specialization of the hospital are
Brain AV-Malformation (AVM) diagnosis
2986
Treatment of brain av-malformation with partial resection and coiling
35252

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of Adult and Pediatric Neurosurgery

According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of i
Brain AV-Malformation (AVM) diagnosis
3442
Treatment of av-malformation of brain using platinum coils embolization (coiling)
25611
Treatment of brain av-malformation with partial resection and coiling
42987
| from Booking Health GmbH

About the disease

AV-malformation of the brain is an abnormal tangle of blood vessels that connects brain arteries and veins. Arteries are responsible for the transportation of oxygen-rich blood from heart to brain. Deprived from oxygen blood is carried back to lungs and heart by veins. In patients with AV-malformation process of blood interchange becomes disrupted. It means that blood with oxygen and blood without oxygen is mixed. AV-malformation can develop in any part of the body, but most often it is found in the 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 when a person is in his adulthood. It is not transmitted genetically, which means that this disease appears absolutely randomly.

Sometimes brain malformation manifests itself during pregnancy, when a woman suddenly experiences severe headaches. Nevertheless, brain malformation is more common in men that in women. According to Brain Foundation.org, if the first symptom of this disease was hemorrhage, it can become fatal in 10%. That's why timely treatment is so important.

Symptoms

​First symptoms of AV-malformation may appear at the age of 11-12. Symptoms gradually build up and become more and more severe over years. Patients with AV-malformation experience:

  • 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

Diagnosis

  • The most common diagnostic method is brain scan (CT / MRI). It helps to obtain the microscopic image of the brain with smallest deviations from the norm. It can also detect if there`s an excessive amount of blood in the brain.
  • Doctors may also use the cerebral angiography. During the procedure, a doctor injects an X-ray contrast agent into the patient’s bloodstream. The contrast fills the vessels and makes them clearly visible on the radiograph.

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. Drugs in this case may only alleviate pain and reduce headaches frequency. 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. A doctor tracks the catheter with the help of X-ray which shows its exact location. Coiling reduces size of the malformation and prevents 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 a 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 it. 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 makes AVM shrink. If malformation is too big, it is impossible to make the cells vanish completely. The biggest disadvantage of radiosurgery is that the cells, which formed the malformation before, may gather again and create even a bigger problem. The most modern type of radiosurgery is Gamma Knife, which is less traumatic than surgery.

After treatment patients need to undergo 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. Patients also need to control blood pressure. If it is high, they are prescribed antihypertensive drugs.

Authors: Dr. Nadezhda IvanisovaDr. Farrukh Ahmed




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