The principle of cerebral arteriovenous malformation surgery is that it should meet the criteria for surgical indications and exclude contraindications to surgery.
1. Meet the indications: clinical patients with the following indications for surgery can undergo surgery.
(1) If the patient has arteriovenous malformation and cerebral hemorrhage occurs, surgery is required.
(2) If patients with arteriovenous malformation have serious dizziness and headache caused by blood theft, they need to undergo surgery.
(3) If patients with arteriovenous malformation have intractable epilepsy, they need surgery.
(4) Surgery is needed if the arteriovenous malformation is combined with intracranial hematoma and hypertension.
2. Excluding contraindications: If the patient has the following contraindications, surgical treatment is not appropriate.
(1) If the arteriovenous malformation is located in the deep part of the brain, such as the internal capsule, basal ganglia, brainstem, etc., it is not suitable for surgical treatment.
(2) If the patient has multiple or extensive arteriovenous malformations.
(3) Patients with asymptomatic cerebral arteriovenous malformations do not require surgical treatment.
(4) Surgery is contraindicated if the patient is over 60 years of age and has cardiac, renal or respiratory diseases.
The above contraindications are relative contraindications, and surgical treatment can be performed according to the patient’s specific physical condition and medical advice. If the diagnosis of cerebral arteriovenous malformation is confirmed, the patient should consult the doctor in time, and under the guidance of the doctor, actively treat the disease to avoid delay.