A Brain AVM if not treated in time, may cause a brain hemorrhage or a brain stroke and can be fatal at times. At CMCS Health , we provide Best Brain AVM treatment in India with top Neurology- brain surgeons and Intervention Neurologists at best brain surgery hospitals in India.
Arteriovenous malformation ( AVM) of Brain
Arteriovenous malformation ( AVM) is an abnormal connection between the arteries and veins. Both arteries and veins are part of the circulatory system. Arteries are the blood vessels in the body that carry oxygenated blood from the heart to all the cells in body. Arteries distribute oxygen , nutrients and hormones to all types of cells throughout the body. Whereas veins carry the deoxygenated blood from all the cells in body to heart. An arteriovenous malformation(AVM) usually occur in brain or spine but it can occur anywhere in body. An arteriovenous malformation (AVM) in brain is abnormal, snarled tangles of blood vessels that cause multiple irregular connections between arteries and veins in brain.
Why early Brain AVM treatment is needed :
The heart sends oxygenated blood to the brain through arteries. The arteries pass this blood through a series of progressively smaller networks of blood vessels, ending with the smallest blood vessels (capillaries). The capillaries slowly deliver oxygen through their thin, porous walls to the surrounding brain tissue.The deoxygenated blood passes into small blood vessels and then into larger veins that return the blood to the heart and lungs to get more oxygen. The multiple irregular connections between brain arteries and veins bypass the process of blood flow through these small blood capillaries and vessels. When the small capillaries' and vessels in brain are devoid of oxygenated blood and nutrients. The arteries and veins as well as the blood capillaries in brain can rupture because of the arteriovenous malformation( AVM) and cause bleeding in brain ( hemorrhage ) or a brain stroke.
We provide best brain AVM treatment in India at Top neuro-surgery or brain surgery hospital in India. Get a quotation about Best Brain AVM treatment cost in India with top brain surgeons in India.
Arteriovenous malformation ( AVM) Brain occurrence:
Brain AVMs are usually present in a child at the time of birth ( congenital ) but it can develop later too. A Brain AVM may be found soon after birth of the child or much later in life when the child grows into an adult, depending on its size and location. As a patient's body grows, the AVM grows too and become evident.
Categories of Arteriovenous malformation (AVM) :
AVMs are often categorized using a scale called the Schöbinger staging system.
- Stage I (quiescence): The AVM is "quiet." The skin on top of the AVM may be warm and pink or red.
- Stage II (expansion): The AVM gets larger. A pulse can be felt or heard in the AVM.
- Stage III (destruction): The AVM causes pain, bleeding or ulcers.
- Stage IV (decompensation): Heart failure occurs.
Complications of Brain AVM:
An untreated Brain AVM may cause serious complications. We not only provide the accurate diagnosis of Brain AVM but also the best Brain AVM treatment in India with Top brain surgery doctors in India.
- An increased pressure against the walls of Brain AVM associated arteries and veins make them weak and thin, this may make them prone to rupturing. A rupture in Brain AVMs may cause hemorrhage or bleeding in brain.
- Reduced oxygen to brain tissues due to deprivation of oxygenated blood supply make them weak or even gradually die. This will cause in stroke-like symptoms, such as difficulty speaking, weakness, numbness, vision loss or severe unsteadiness.
- As The Brain AVM grow in size because of increased blood flow to them, they may compress brain tissues and push them towards the skull causing irreversible brain damage.
Do not delay the Brain AVM treatment. CMCS health connects you with top brain surgeon in India at best brain surgery - Neuro surgery hospital for a cost effective Brain AVM treatment in India.
Signs and symptoms of Brain AVM:
Many of Brain AVM patients does not have any early signs and symptoms. Many Brain-AVM patients shows signs only when AVM ruptures, resulting in hemorrhage. In about half of all brain AVMs, hemorrhage is the first sign.
Some Of the Brain AVM patients may have following signs and symptoms.
- Headache or pain in one area of head.
- Numbness or muscles weakness in any part of the body.
- Seizures.
Other Brain AVM patients may experience more severe signs , depending on the location of Brain AVM.
- Severe headache
- Weakness, numbness or paralysis
- Vision loss
- Difficulty speaking
- Confusion or inability to understand others
- Severe unsteadiness
If you observe the above symptoms , send your query to us. We will connect you with Top brain - Neurosurgeon of India to help you in getting opinion anout treatment course and cost.
Risk Factors for Brain AVM:
- Being a male increases the risk of Brain AVM.
- Women during pregnancy may have a ruptured brain AVM.
- Certain genetic conditions such as hereditary hemorrhagic telangiectasia (HHT) may increase the risk factor for Brain AVM.
Diagnosis of Brain AVM in India:
Most of the JCI accredited best brain surgery hospital in India have Latest diagnostic tests for accurate diagnosis of Brain AVM. The commonly conducted diagnostic procedures for brain AVM includes:
Brain Ultrasound for diagnosis of Brain AVM:
The first test that a clinician may recommend on suspicion of a Brain AVM is an ultrasound. An Ultrasound captures pictures of the blood vessels and tissues under the skin by using soundwaves. An ultrasound of brain also marks the speed of blood flow, which helps the clinician in diagnosing a Brain AVM.
An ultrasound is a preferred diagnostic tool for brain AVM diagnosis in children as it is completely pain free and does not require anesthesia.
Computerized tomography (CT scan) of brain for diagnosing Brain AVM:
CT scan of the brain create a detailed cross-sectional image of the brain by using a cluster of X-rays. A CT- scan of the brain will be able to highlight if the Brain AVM is pressing against a skull bone.
Magnetic resonance imaging (MRI) for Brain AVM:
MRI of Brain is more efficient than brain CT Scans in showing more subtle changes in brain tissues due to Brain AVM. MRI of brain provides more detailed pictures of the size and location of an AVM inside the brain. An MRI of the brain will also highlight the critical structures near the Brain AVM like a nerve that may be affected during the Brain AVM treatment.
Digital subtraction Angiography (DSA) for diagnosis of Brain AVM:
A Brain DSA delivers a very detailed image of the blood vessels in the brain to detect a problem with blood flow. Procedure is done under the general anesthesia. The procedure involves inserting a catheter (a small, thin tube) into an artery in the leg and passing it up to the blood vessels in the brain. A contrast dye is injected through the catheter and X-ray images are taken of the blood vessels. A Brain DSA test diagnose and "map" the blood vessels in an AVM and are also used during treatment of an AVM.
Best Brain AVM treatment in India:
We offer complete and comprehensive Best Brain AVM treatment in India with best Indian intervention neurologists and top brain surgeons in India. The factors that influence the treatment of Brain AVM are:
- Size and location of Brain AVM.
- Medical complaints of patient due to Brain AVM
- Age of the Brain AVM patient.
- Overall health of the Brain AVM patient.
The Goal of Brain AVM treatment is to prevent brain hemorrhage and control seizures and other neurological conditions.
Craniotomy - microsurgery | Best Brain AVM treatment in India :
Microsurgery is considered as a gold standard for AVMs treatment. A small nidus (up to 3 cm) can be completely removed in more than 94% of patients, with a good overall outcome in more than 90% cases .
If the Brain AVM has bled and is easily approachable, without harming any brain tissues or structures, then the neurosurgeon remove part of the skull temporarily ( Craniotomy ) to gain access to Brain AVM.
Top Neuro-Surgeons in India will use a high magnifying microscope to seal off the Brain AVM with special metallic clips and carefully removes the AVM from the surrounding brain tissues. After successful removal of Brain AVM the surgeon will reattach the skull bone and close the incision in the scalp.
Microsurgery for Brain AVM is done only after the neuro-surgeon assess that Brain AVM can be safely removed without the risk of further hemorrhage or seizures . For the Brain AVMs that are deeply rooted in brain or which are not easily accessible for surgical resection or when the treating top brain surgery doctor in India feels that surgical removal is too risky , other treatment options are discussed with the patient for best Brain-AVM treatments in India.
Use of latest technologies like neuro-navigation or indocyanine- green video-angiography by the best Brain surgery hospital in India have improved the results of microsurgery for brain AVMs in India considerably.
Endovascular embolization - Best Brain AVM treatment in India :
Endovascular embolization in India, using coils or Onyx, may be used for nidus reduction and sometimes for complete obliteration of Brain AVMs.
In endovascular embolization a catheter is inserted into an artery in the leg or wrist and is threaded through blood vessels to the brain using X-ray imaging. The treating doctor has already identified an artery that feeds the Brain AVM and injects an embolizing agent such as small particles, a glue-like substance, micro coils or other materials to block the identified artery feeding the brain AVM and reduce blood flow into the AVM.
Endovascular embolization is less invasive as compared to microsurgery for resection of Brain AVM.
However endovascular embolization does not offer a cure for Brain AVM . Over a period of time the Brain AVM may regrow.
At times Top brain surgery doctors in India treating Brain AVM recommend endovascular embolization before craniotomy for microsurgery of Brain-AVM, to reduce the size of Brain AVM and also the risk of bleeding during the surgery.
You can enquire about Endovascular embolization cost in India for brain AVM treatment from the Top brain surgeons in India by sending all your Brain scans , MRIs of brain to us.
Sclerotherapy Treatment - Best Brain AVM treatment in India :
Like endovascular embolization sclerotherapy is also used for reducing the size of Brain AVM. In sclerotherapy, a fluid (sclerosant ) is injected into the AVM to destroy the vessels and cause scars to form. These scarring will cause less or no blood flow through the AVM.
Sclerotherapy is also used to treat other vascular malformations, such as venous malformations and lymphatic malformations.
Both endovascular embolization and sclerotherapy does not cure the Brain-AVM but reduces the size of Brain AVMs and also relieve the patient from symptoms.
CyberKnife or Gamma Knife ( stereotactic radiosurgery) treatment | Best Brain AVMs treatment in India :
Stereotactic radiosurgery is preferred choice for those Brain AVM patients where the Brain AVMs are deep rooted in brain tissues and surgery is not possible because of non-accessibility or the major risks outweigh the benefit of surgery. We are associated with Best CyberKnife treatment specialists and Top Neuro-surgeons of India for best Cyberknife treatment for brain AVM.
Stereotactic radiosurgery is not surgery in the traditional sense as there is no incision or cut. Instead, stereotactic radiosurgery uses 3D imaging to target high doses of radiation beams to the affected area with minimal impact on the surrounding healthy tissue.
Stereotactic radiosurgery of the brain and spine is typically completed in a single session.
Brain AVM treatment cost in India:
Cost of Brain AVM ( Arteriovenous malformation ) treatment depends on factors like hospital , city , specialist doctor treating Brain AVM and the type of treatment offered. We are associated with Top Hospitals for best Brain AVM treatment in India.
| Cost Of Investigations for Brain AVM | 500 - 1000 USD |
| Cost of Endovascular embolization for Brain AVM | 2000-4000 USD |
| Cost of CyberKnife Treatment for Brain AVM | 6000-8000 USD |
| Cost of craniotomy - microsurgery for Brain AVM | 5000-8000 USD |
Top 5 Brain AVM specialist - Best brain surgeons in India:
Dr. Rana Patir
Chairman -Neurosurgery
Fortis Memorial research Institute
Dr. V. S. Mehta
Director & HOD - Neuro-sciences
Paras Hospital
Best Brain AVM treatment Hospital in India | Best brain surgery hospital in India :
Medanta the medicity Best Brain surgery Hospital in India Gurugram.
Indraprastha Apollo Best Brain AVM treatment Hospital New Delhi.
Artemis Hospital Best Brain AVM treatment Hospital. Gurugram.
Fortis memorial research Institute Best Brain surgery Hospital. Gurugram.
Max super-specialty Hospital Best Brain AVM treatment Hospital New Delhi.
A Testimonial - Successful Brain AVM treatment for a Kenyan patient in India:
Mr. Noah Kibet Mutal from Eldoret Kenya had a successful Brain AVM treatment in India at Fortis memorial research Institute in Gurugram, India under Dr. Sandeep Vaishya.