Fraser Health Neurosurgery

Drs. Navraj S. Heran and Winston Gittens
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Arteriovenous Malformations (AVMs)

 

What is an AVM? 

 

AVMs are an abnormal connection between the high pressure arteries (PINK) and normally low pressure veins (BLUE).  They pose a risk for hemorrhage and seizures for the patient that have them within the spine or brain.   Most people have no evidence suggesting the presence of an AVM prior to developing symptoms or signs from hemorrhage or seizures.  Over time, with the increased use of CT and MRI scans for other reasons, AVMs are becoming recognized prior to clinical presentation.

What treatments are available?

 

Symptoms or signs of seizures from AVMs are best treated with antiseizure medication.  The AVMs themselves can be treated with surgery, radiosurgery, embolization, or a combination of these techniques.  It is important to have a physician who is well versed in managing AVMs as these are some of the most difficult disorders to manage.

 

 

 

 

 

Brain AVM (A) before treatment. Superselective angiogram (B).  NBCA (Acrylic glue) injection (C). Postembolization angiogram showing reduction in AVM flow (D).

 

 

                        A                                                    B                                                  C                                                  D