The patient: 27 years old, female, had a sudden cerebral hemorrhage on December 18 last year, and was admitted to a local hospital for extraventricular drainage, further imaging confirmed the diagnosis of congenital cerebrovascular malformation, and the condition was graded as 4. I would like to ask Dr. Huang whether the patient’s rebleeding is related to the intervention, whether he can recover, and whether the limitation of the left limb is a sequelae of the future? Doctor: Cerebrovascular malformation itself is easy to complicate bleeding, large vascular malformation neurointerventional embolization can only treat part of the lesion, the residual lesion may still bleed, so for large vascular malformation may perform multiple embolization, if possible, also embolization + surgical resection or radiation therapy. Patient: I only know that the malformation is the size of an egg yolk and is located in the functional brain area; the treatment plan given to us by the hospital is intervention + gamma knife, I would like to ask if this treatment plan is the best; if it is necessary to transfer the treatment, for this individual case, is Tiantan better or Xuanwu better, you said “the left limb limitation may be the sequelae of cerebral hemorrhage neurological injury “Is there any way to recover in the short term (about a year)? Doctor: The patient’s specific treatment plan must be determined after studying the DSA film and MRI film. At present, from your description, the lesion is in the functional area, and surgery may bring obvious neurological damage, so consider giving interventional embolization + radiation therapy, and if the deformity mass is the size of egg yolk may be about 3CM, multiple embolization can be considered. Patient: I read your resume and know that you are also good at combined Chinese and Western medicine treatment of cerebrovascular disease, I would like to ask what treatment means are available from the perspective of Chinese medicine, and then what can assist in recovery from acupuncture, Chinese herbal medicine, food therapy of similar Doctor: Combined Chinese and Western medicine treatment mainly refers to neurological function recovery after brain injury, but the main problem of this patient at present is that the lesion still exists and may bleed again at any time, so, now first Therefore, the lesion should be eliminated first, and then given a comprehensive rehabilitation treatment of neurological function including acupuncture, Chinese medicine, western medicine, and limb function rehabilitation. All the previous treatment will be abandoned.