Arteriovenous malformation hemangioma (AVM) of the left frontal cerebral lobe is bleeding - Excel Medical Group

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Arteriovenous malformation hemangioma (AVM) of the left frontal cerebral lobe is bleeding

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Excel Medical Group

2017-3-3

The arteriovenous malformation hemangioma (AVM) of the left frontal cerebral lobe bleeds and causes generalized, tonic-clonic convulsions. Severe cerebral epilepsy….resulting in loss of consciousness. Misleading brain MRI reports… normal

Medical History:

A 40-year-old woman was found unconscious at home… and was sent to a public hospital.

CT scans, brain waves, and blood test results…it is normal to be told.

She was discharged from the hospital 3 days later and was referred to a private MRI center for brain examination at a very favorable price.

According to the MRI report…. All findings in the brain are normal, so the patient was very happy to bring the MRI film and report back to the public hospital for follow-up.

The brain doctor attending the specialist outpatient clinic was also satisfied with the normal report and asked the patient to follow up after 3 months.

The patient…. was introduced by another patient who had a severe cerebral hemorrhagic stroke (cerebral aneurysm rupture resulting in severe subarachnoid hemorrhage, dilated pupils and deep coma… and then fully recovered) .. Bring the MRI film to my clinic for a second medical consultation…..At the time, I was also in a good mood….until…after seeing the MRI image…I told her the real MRI examination results…Her left frontal lobe…There is a 3cm cerebral arteriovenous malformed hemangioma (AVM)…and there are signs of recent bleeding… might be the reason for her loss of consciousness and epilepsy.

Two days later…. After performing diagnostic ambulatory angiography in a private hospital to determine the blood flow pattern for her, she underwent 4 hours of microscopy… AVM’s time bomb was completely removed… ….. The old residual blood of hemosiderin can also be seen in the brain next to the AVM. She was discharged two days after the operation.

(#) This is an individual case, and the actual results vary from person to person.

Author

DR. PETER K.H. PANG

MBBS (HK), FCSHK, FRCS (Edin), FHKAM (Surgery)


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