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 her 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 sequela. Doctor: Cerebrovascular malformation itself is easy to complicate bleeding, large vascular malformation neurointerventional embolization can only treat part of the lesion, residual lesions may still bleed, so for large vascular malformation may carry out multiple embolization, if possible, can also embolization + surgical resection or radiation therapy, in Beijing area you can bring all the imaging data to Xuanwu Hospital Neurosurgery Department for detailed consultation, to see if there is a surgical resection of It is possible. The left limb limitation may be the sequelae of neurological injury from cerebral hemorrhage. Patient: Because all the case data are in Tianjin Huanhu Hospital, I only know that the deformity 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 to another hospital for treatment, for this individual case, is it better to be in Tiantan or Xuanwu, you said “the left side The limb limitation may be the sequelae of cerebral hemorrhage neurological injury” whether there is still a way to short-term (about a year) recovery possible Doctor: patient specific treatment plan must be determined after studying the DSA film and MRI film, at present, from your account of the lesion in the functional area, surgery may bring obvious neurological damage, so consider giving interventional embolization + radiation therapy, deformity If the mass is the size of egg yolk, it may be about 3CM, and multiple embolization can be considered. I personally know more about the neurosurgery department of Xuanwu Hospital, where the embolization and surgery, as well as neurological rehabilitation are of high level, and Tiantan Hospital is also the top hospital in China, so you can choose by yourself. The recovery of limb function is a comprehensive treatment, and the rehabilitation department of Xuanwu Hospital is very strong. The above is only for your reference, I hope it will help you. Doctor: Combined Chinese and Western medicine treatment mainly refers to the 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 the lesion should be eliminated first now, and then given a comprehensive neurological function recovery treatment including acupuncture, Chinese medicine, Western medicine and limb function recovery, and Chinese medicine treatment is also an auxiliary treatment, and the main thing is to rely on the patient’s own recovery. If the treatment is mainly based on Chinese and Western medicines without dealing with the lesion, the brain hemorrhage that may occur at any time may lead to further damage to the neurological function and even endanger the patient’s life, and all the previous treatment will be abandoned. Patient: post-operative cerebrovascular malformation (intervention + Y knife), now recovering well, the limb activity is basically unaffected, just squatting up with a little effort; thinking and expression ability is normal, short-term memory is poor. The problem now is that almost 3 months since the onset of the brain hemorrhage, there has been no menstruation, and the doctor here said that it will take time for further observation. Now that there is no more blood in the patient’s brain, where is it affected and what related tests and treatment should be done. !!!! Doctor: Please check the pituitary gland and pituitary hormone levels Patient: Is congenital cerebrovascular malformation hereditary, I want to get a positive answer, this is very important for me and my family, I hope Director Huang can give an answer, thank you Patient: I forgot to mention the patient is female, 27 years old, his brother has congenital hypertension, her two children have congenital disease, is there a necessary connection between this, (his parents are very I’ve been guessing all day, and I’m under a lot of pressure. Doctor: congenital disease is not the same as hereditary disease. In a small number of cases, AVM is associated with other genetic disorders such as Osler-Weber-Rendu syndrome, Sturge-Weber disease, neurofibromatosis and von Hippel Lindau disease, while no clear evidence of familial inheritance has been found for most AVM.