Alert brain recessive killer: vascular malformations

ZhangXianHuai liberation army general hospital first affiliated hospital

China's traditional Chinese medicine reported

        January 27,, the year of the dragon the fifth, people are immersed in the joy of the Spring Festival in. The PLA general hospital affiliated hospitals in the first few hours, two consecutive patients for vascular malformations trigger spontaneous intracerebral hemorrhage of young female patients, critical illness, before they all have no symptoms.

        Medical record a: hou one, female, 27 years old. January 27, at 1 am about 30 points sudden headache, a persistent blunt painful, nausea and vomiting, with left limbs weakness. Family urgent send her to the PLA general hospital first affiliated hospital. The hospital neurosurgery of doctor of vice director of GuoXiaoMing examination revealed that the patients are sleepiness shape, words are not clear, the left facial paralysis, left limbs hemiplegia, head CT shows: the right JiDeJieOu cerebral hemorrhage 20 ml. According to patients with disease, consider congenital malformation trigger spontaneous bleeding vessels possibility. On 29 January line cerebral angiogram confirmed that the right side of the brain in a place deep in the artery a small arteries arteriolar deformity.

        Medical record two: Yang, female, 24 years old. On 27 January morning, tu feel left hand a tingling, then dizziness, breath-holding, suddenly collapse in the ground, appear deep coma, convulsions, bilateral pupil comes loose big, send a hospital. Nasty check CT tip: right frontal top broken into the ventricular hemorrhage, amount to about 50 ml, shift of the midline ventricle with cerebral hernia pressure, life is at stake. Famous cerebrovascular surgery experts ZhangZhiWen professor ZhuDao line hematoma was clear, perioperative, found the right motor area subcortical a 3 by 3 cm arteriolar deformity. The medical staff of carefully and care treatment, patients were already out of danger.

        Vascular malformations: the hidden in the brain "no time bomb"

        ZhangZhiWen introduced said, vascular malformations is in the process of the development of embryo cerebrovascular change and of the formation of a congenital anomaly, the tumor growth. More common in young people, among them, the brain arteriovenous malformation is vascular malformations one of the most common accounting for more than 90%.

        Brain arteriovenous fistula in general is the development of embryo 45 days to 60 days of happened. In the development of embryo 4 weeks, brain original vascular nets started to form, later again the differentiate into arteries and veins and capillaries. This period, if cerebrovascular differentiation occurs an obstacle, it will cause the artery and vein end direct interlinked, and the formation of brain arteriovenous malformation.

        ZhangZhi said, vascular malformations are like hidden in the brain in a not ticking time bomb, because the patient is not any feelings, often ignored. And once the emotional or meet other stimulation, such as drunk, smoking, highly nervous, vascular malformation may be broken and bleeding. Deformity cerebrovascular once broken bleeding, more than half the poor prognosis, the mortality rate as high as 25%, although some saved their lives, but a vegetable.

        The key lies in the early detection, prevention, early treatment

        Vascular malformations is like a bomb buried in the brain, but if found early, as soon as possible, reliable, safe and processing, can make the hidden in the star of the brain be not ticking time bomb explosion never bad.

        ZhangZhi said, vascular malformations of though suddenly, but not without a clue before. If some patients often have pulsatile, persistent headaches, some will develop epilepsy and chronic, some children can have development delay, vision problems, hydrocephalus, intracranial vascular noise, etc.; Some newborns can have sex tall wrestle gives a quantity to heart failure, often misdiagnosed as congenital heart disease; Some children in three to five years is showing not going a long way, appear weak, the need to place to rest. If have the similar performance, should consider to vascular malformations, in time to go to a hospital to check the diagnosis, best can do cerebral angiogram.

        ZhangZhi said, with the medical advances, vascular malformations treatment level has greatly improved, the treatment method is currently has a variety of, the doctor will according to patients' physical condition, the position of the lesion and severity of choose the most appropriate treatment. Commonly used methods endovascular embolization, surgical resection, the stereotactic radiotherapy combined treatment, etc. Older only headache, epilepsy symptoms can take drug conservative treatment. At the same time, pay attention to develop a good way of life and life rule avoid stay up late, overworked and emotional.