"You can go home, now clinical symptoms, radiological signs are normal, and you can return to school for normal learning, as long as coming back to review when you are on winter and summer vacation," said the director of comprehensive tumor treatment center, Cai Linbo, to the soon to be discharged arteriovenous malformation patient Xiao Yi . Hearing the news, Xiao Yi was very happy because she could continue to prepare for college entrance examination and realize her college dream.
Xiao Yi is a girl of 18 years old of Shantou, 2 years ago, waves of pain appeared in the back of her head, then the pain in her right eye also appeared. She didn't care at first, considering for preparing for the exam, learning too tightly and too tired. Successfully entering high school, she would break with headache attacks sometimes, but attacked more and more frequently in recent months. Due to a splitting headache in a physical education class , she was sent to local hospital to check MRI and found the "right lobus occipitalis giant arteriovenous malformation".
To get further treatment, Xiao Yi's parents took her to comprehensive tumor treatment center of Guangdong 999 Brain Hospital in August for treatment. After admittinging and improving relevant inspection, Cai Linbo Director organized the Director General to discuss the condition of Xiao Yi, "the current movement of abnormalities in patient is a large range to step up treatment to avoid further risk of bleeding caused." said Cai Linbo Director .
After considering the comprehensive condition of the patient, Cai Linbo Director decided to give her enormous arteriovenous malformation angiography and malformation embolization. Hearing the news, the young girl suddenly felt afraid, "I was very afraid at first, the doctor said there were several treatment modalities, as well as craniotomy, they would open a hole in my head , it's so horrible. " To make Xiao Yi receive the surgery confidently, her parents and medical staff had done a lot of ideological work. Finally, Xiao Yi took the courage to make the final decision to fight against the disease. "Many people will be scared by the medical professional vocable "cerebral arteriovenous malformation ", feeling that prevention can not be started. But the diagnosis of cerebral vascular malformations is not so difficult, the general hospital with neurological conditions, doctors with clinical experience, by cerebral angiography or CT, magnetic resonance imaging (MRI) examination combined with clinical symptoms and signs, the result willed be confirmed. Main treatment of the arteriovenous malformations include resection of cerebral vascular malformations, embolization of cerebral vascular malformation and gamma knife treatment. Each treatment methods have their own characteristics, it should be based on the size of cerebral arteriovenous malformations to select the appropriate treatment method. "Cai Linbo Director said to us.
Surgery program was implemented immediately, the surgery went very smoothly. After that most had been embolization of vascular malformations. Having rest and relaxing, Xiao Yi was received re-divided doses of two X-knife treatment. After the treatment,it reduced the scope of abnormal blood vessels greatly as well as the possibility of bleeding.
After treatment, Xiao Yi recovered well, no headache and discomfort situation happened. When discharging, Xiao Yi was very excited: "I finally cure the disease, and there isn't any wound. I'm looking forward to returning to school to see my teachers and classmates, preparing for college entrance with them!"
【Experts】
Cai Linbo Director of comprehensive tumor treatment center tells us, intracranial arteriovenous malformation is a congenital disease. In the early stage, the original traffic artery and vein are mutual, and after the abnormal development of the local capillaries, arteries and veins in the form of direct communication still leave. Arteriovenous malformations are composed of arteries, veins and arteries of the vein (arteriovenous fistula) like vascular component, direct arterial and venous transport, during which no capillaries. Cerebral vascular malformations account for about 50%. In angiography, the local vascular plexus are clustered into ball or blood vessels, one or more of the feeding artery and draining vein.
Arteriovenous malformation is a mass of blood vessels and arteries and veins messy, no capillary bed, due to malformation, abnormal blood vessels appears the weak links in the human emotional or blood pressure when other stimuli (such as inebriation, smoking, height tense), the Department can not stand the sudden increase in blood pressure and damage, which is bleeding. Until there are several headache, coma and other symptoms, the patient will go to a doctor. If there is not much bleeding and the patient is sent to hospital immediately, maybe he can be still treated, otherwise there is danger, or eventually in a vegetative state. This patient now has basically eliminated the risk of bleeding blood vessel abnormalities that can live a normal life, learning, but still need to avoid too much strenuous exercise and emotional excitement.