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Ask Internist Your Own Question
Internist
Internist, Doctor
Category: Neurology
Satisfied Customers: 1066
Experience:  MD,MBBS, Diplomate American Board of Internal Medicine
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My MRI showed tiny T2 blooming dark at right glbus pallidus

Customer Question

My MRI showed tiny T2 blooming dark spit at right glbus pallidus and left inferior cerebellar hemisphere, likely previous mircrobleed. DDx tiny cavernoma. What is that means and am i need to take any further medical treatment or pills. Please advice
Submitted: 1 year ago.
Category: Neurology
Expert:  Internist replied 1 year ago.

Hi there,
This is Dr Hashmi, experienced Internal Medicine Specialist.
I am online and will be happy to answer your questions and provide an excellent service.

Arteriovenous malformations, called “AVMs” for short, are clumps of abnormal blood vessels. People can have AVMs in different places in their body.

Cavernous malformations (CMs) are also referred to as cavernous angiomas, cavernous hemangiomas, or cavernomas. They may occur sporadically or in a familial pattern .

Asymptomatic CMs are observed, irrespective of location. Indications for surgical resection of accessible symptomatic cerebral and cerebellar lesions include progressive neurologic deficit, intractable epilepsy, and recurrent hemorrhage.

AVMs that are bleeding or causing symptoms usually need treatment. The different treatments for an AVM include:

●Surgery to remove the AVM

●Radiosurgery – This is not surgery. It involves getting radiation (high doses of X-rays) in the area of the AVM. Over time, the radiation makes the AVM less likely to bleed. This treatment usually takes a few years to work.

●Embolization – This is a procedure done during cerebral angiography. The doctor puts a material into the blood vessel that brings blood to the AVM. The material blocks off the blood vessel. Sometimes this procedure works on its own. Other times, doctors do surgery or radiosurgery after it.

If your AVM is causing seizures, your doctor will treat your seizures with anti-seizure medicines. These medicines can help prevent you from having more seizures.

If your AVM is not bleeding or causing symptoms, your doctor will talk with you about whether it needs to be treated. Not all AVMs need to be treated, especially if they are not bleeding or causing symptoms.

If you have a seizure or severe headache, call your doctor or nurse right away.

If you have symptoms of a stroke, call for an ambulance

Expert:  Internist replied 1 year ago.

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