About Surgery for Cerbral Arteriovenous Malformation
Key Highlights
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Definitive treatment that can completely eliminate the AVM and its associated risk of hemorrhage.Prevents future strokes, seizures, and neurological deficits caused by the malformation.Utilizes advanced microsurgical techniques for precision and minimal tissue disruption.Often supported by intraoperative imaging (like angiography) and neurophysiological monitoring to enhance safety.Can be combined with or serve as an alternative to other treatments like embolization or radiosurgery.
Who is this surgery for?
- AVM that has already bled (hemorrhaged), posing a high risk of re-bleeding.
- AVMs causing drug-resistant seizures (epilepsy).
- Progressive neurological deficits, such as weakness, numbness, or speech problems, due to the AVM.
- AVMs located in areas of the brain where surgical removal is considered safe (low Spetzler-Martin grade).
- In younger patients where the long-term risk of hemorrhage outweighs the surgical risk.
- As part of a multimodal treatment plan, often following pre-operative embolization to reduce blood flow.
How to prepare
- Comprehensive neurological examination and detailed imaging, including MRI and cerebral angiography, to map the AVM's size, location, and blood supply.
- Assessment of the AVM's Spetzler-Martin grade to evaluate surgical risk.
- Pre-operative consultations with a neuro-anesthesiologist and the neurosurgical team.
- Possible pre-surgical embolization a few days before to reduce blood flow to the AVM.
- Discontinuation of blood-thinning medications (like aspirin or warfarin) as advised by the doctor.
- Fasting for 8-12 hours before the surgery.
Risks & possible complications
- Bleeding (hemorrhage) during or after surgery.
- Stroke or new neurological deficits, such as paralysis, speech impairment (aphasia), or vision problems.
- Brain swelling (edema) or infection (meningitis, abscess).
- Seizures, which may be temporary or permanent.
- Incomplete removal of the AVM, requiring further treatment.
- Risks associated with general anesthesia.
- Normal perfusion pressure breakthrough, a rare complication where previously low-pressure brain tissue experiences high pressure after AVM removal.
Recovery & hospital stay
- Initial recovery in an Intensive Care Unit (ICU) for close monitoring of neurological status.
- Management of pain, swelling, and prevention of seizures with medications.
- Gradual mobilization with assistance from physiotherapists.
- Regular follow-up imaging (like MRI or angiography) to confirm complete AVM removal.
- Rehabilitation therapy (physical, occupational, speech) may be needed to address any new deficits.
- Avoidance of strenuous activities and contact sports for several months.
- Long-term neurological follow-up to monitor recovery and manage any late complications.
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Typical hospital stay: 7-14 days
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Expected recovery time: 6-12 weeks for initial recovery; 6-12 months for full neurological stabilization
Frequently Asked Questions
If you are considering surgery for cerbral arteriovenous malformation in India, these questions and answers can help you make a confident, informed decision.
Popular choices for surgery for cerbral arteriovenous malformation in India include Miot Hospital Chennai, Cytecare Hospital, Kamineni Hospital LB Nagar, Kamineni Hospital, King Koti, Manipal Hospital Old Airport Road, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform surgery for cerbral arteriovenous malformation. MediFyr helps you compare neurosurgeons and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for surgery for cerbral arteriovenous malformation compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 450 Thousand – 1.2 Million | 7-14 days | ~ 6-12 weeks for initial recovery; 6-12 months for full neurological stabilization | Know More |
| Turkey | TRY 1.58 Million – 4.2 Million | 7-14 days | ~ 6-12 weeks for initial recovery; 6-12 months for full neurological stabilization | Know More |
Top hospitals for Surgery for Cerbral Arteriovenous Malformation in India
These partner hospitals in India have dedicated neurosurgery teams and experience managing patients undergoing surgery for cerbral arteriovenous malformation.
Pooja Nair, a 28-year-old software engineer...
Pooja Nair, a 28-year-old software engineer from Bangalore, had always been healthy and active. Her life revolved around her career and her passion for classical dance. The first sign was a sudden, excruciating headache during a team meeting, unlike any migraine she'd ever had. It was followed by a terrifying episode where her right arm went weak and her speech became slurred for a few minutes. An MRI revealed the culprit: a small but high-risk arteriovenous malformation (AVM) in her left frontal lobe. Her neurosurgeon, Dr. Kapoor, explained that while the AVM hadn't ruptured, its location and angioarchitecture made it a 'ticking time bomb.' He recommended surgical resection, detailing the risks of paralysis or speech issues versus the catastrophic risk of a major bleed. Pooja was terrified, the thought of brain surgery and potentially losing her ability to code or dance was paralyzing. The surgery was a grueling 8-hour procedure. Waking up in the ICU, her first conscious act was to wiggle the fingers of her right hand and whisper her own name, tears of relief streaming down her face. Recovery was challenging, with fatigue and headaches, but intensive physiotherapy and speech therapy helped. Six months later, with a clear follow-up angiogram, Pooja is back at work part-time and has even begun teaching dance to children. Her journey was from fearing the loss of her identity to a profound gratitude for a second chance, her anxiety replaced by a cautious but deep-seated optimism.
Neurosurgeons for Surgery for Cerbral Arteriovenous Malformation
Explore experienced neurosurgeons who regularly perform surgery for cerbral arteriovenous malformation and provide pre- and post-operative care in India.
- 18 Years Experience
- Neurosurgeon
Miot Hospital Chennai, Chennai
- 22 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 13 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 10 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 9 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 9 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 11 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road, Bangalore
- 9 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road, Bangalore
- 21 Years Experience
- Neurosurgeon
Manipal Hospital Whitefield, Bangalore
- 29 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road, Bangalore
- 21 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road, Bangalore
- 19 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road, Bangalore
- 20 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road, Bangalore
- 17 Years Experience
- Neurosurgeon
Manipal Hospital Patiala, Patiala
- 13 Years Experience
- Neurosurgeon
Manipal Hospital Patiala, Patiala
- 17 Years Experience
- Neurosurgeon
Manipal Hospital Mysore, Mysore
- 15 Years Experience
- Neurosurgeon
Manipal Hospital Vijayawada, vijayawada
- 14 Years Experience
- Neurosurgeon
Manipal Hospital Vijayawada, vijayawada