Tuesday, 16 October 2012

Beware of headache accompanied with Seizures


Don’t be taken easy the seizures in children or adults. Especially if accompanied by a severe headache that will not go away or suddenly paralysis. It could be a symptom of vascular malformations of the brain artery-vein.

Ordinary people refer to as epileptic seizures. Epilepsy (epilepsy) could be due to electrical abnormalities in the brain cells, called primary epilepsy, or a disorder in the brain, called secondary epilepsy. Secondary  trigger epileptic brain abnormalities that may be abnormal formation of blood vessels connecting arteries and veins in the brain (arteriovenous malformation) or because of tumors.
Although abnormalities present at birth, many new symptoms appear when the child is a teenager or adult.

Actually, this disorder can occur in any body part as long as there arteries and veins. However, vascular malformations in the brain and spinal cord have a more fatal.

Under normal conditions, the heart pumps oxygen-rich blood and nutrients to the brain through arteries. Blood and entered capillaries. Here, the blood flow is slowed to allow the release of oxygen to the surrounding tissues. Furthermore, reduced oxygen content of blood delivered to the heart through veins.


Without capillaries


Patients with arteriovenous malformation of the vein, blood from an artery in the brain directly to veins without passing through capillaries. Role of capillaries replaced abnormal blood vessels called a fistula.

In fistula, blood flow becomes very fast. This is dangerous because the release of oxygen to be more difficult. Rapid blood flow also makes the pressure on the vessel wall becomes so high that can cause blood vessel rupture and bleeding arise.

Rupture of blood vessels known as a stroke. Generally induced hypertension stroke. However, bleeding in the brain can also be triggered artery-vein malformation.

The bleeding can damage brain cells. The extent of damage depends on the location of the arterial-venous malformation.

Mothers who suffer from vein arteriovenous malformation will decrease 18 percent risk of malformations to her kids. However, the number of cases of arteriovenous malformation vein revealed very little. Lack of public awareness and the difficulty of the detection process makes a lot of people with the malformation should receive no treatment.

Introduction  vein arteriovenous malformation symptoms needs to be done. However, those who have symptoms of artery-venous malformations, such as seizures, bleeding in the skull, or a headache will not go away even after treatment, no need to worry immediately. Detailed examination required by a doctor to confirm the cause of the symptoms.

Detection of malformations is often done using a magnetic resonance imaging (MRI).

Therapy


To prevent to prevent stroke and improve patient quality of life, there are at least three choices of action,  microsurgery, endovascular embolization and gamma knife radiation.

Micro-surgery suitable to remove the abnormal tissue measuring more than 4 centimeters (cm) and were located at the surface of the brain.

If abnormal tissue diameter less than 4 cm and its position in the brain or between the brain hemispheres, the appointment should be made with the gamma knife radiation. This technique is done by inserting radioactive cobalt in the abnormal tissue.

Another treatment is endovascular embolization. This technique is done by inserting embolan particles, similar to the glue, which will freeze when entering the veins. Particle embolan inserted using a catheter to a position near the abnormal tissue.

Endovascular embolization is not normally selected if the network is widespread, reaching even half a brain. This therapy does not cure, but it can reduce the risk. Blockage by embolan will reduce the risk of brain hemorrhage.

The earlier-venous malformations of the brain arteries detected, the higher the success rate of treatment. Hope for people to live a normal life is wide open.

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