The Epilepsy Institute of New Jersey is a team of board-certified neurologists and neurosurgeons who provide expert care for a variety of pediatric neurological conditions, including arteriovenous malformations (AVMs). Our team uses advanced diagnostic tools and innovative treatment techniques to ensure the best outcomes for your child.
The Physical Impact
Arteriovenous malformations (AVMs) are abnormal tangles of blood vessels connecting arteries and veins in the brain or spinal cord. These malformations disrupt normal blood flow, creating a high-pressure environment that increases the risk of rupture and bleeding. This disruption can lead to serious complications, including hemorrhages, seizures, or neurological deficits, making timely intervention critical.
How Common Is This Condition?
Arteriovenous malformations are relatively rare, affecting approximately 10 in every 100,000 individuals annually. They are often congenital (present at birth) but may not cause symptoms until later in life. AVMs most commonly occur in the brain or spinal cord, where they can significantly impact neurological function.
Risk Factors:
- Congenital development during fetal growth
- Family history of AVMs or vascular conditions
- Male gender (a slightly higher prevalence)
- Syndromes like Osler-Weber-Rendu syndrome (hereditary hemorrhagic telangiectasia)
- History of radiation therapy to the head or neck
Signs and Symptoms
Symptoms of arteriovenous malformations can vary depending on their size and location. Common symptoms include:
- Headaches
- Seizures
- Weakness or numbness in the limbs
- Difficulty with coordination or balance
- Vision problems
- Speech or language difficulties
- Cognitive or memory impairment
- Bleeding in the brain or spinal cord (hemorrhage)
How We Diagnose
At the Epilepsy Institute of New Jersey, diagnosing arteriovenous malformations begins with a detailed evaluation of your child's symptoms and medical history. We use advanced imaging technologies to precisely locate and assess the size of the AVM. Diagnostic techniques include:
- MRI (Magnetic Resonance Imaging): Provides high-resolution images of the brain or spinal cord to detect vascular abnormalities.
- CT Scan (Computed Tomography): Highlights areas of bleeding or pressure caused by the AVM.
- Angiography: A specialized imaging technique to map the blood vessels and identify the AVM's structure and blood flow.
Our comprehensive diagnostic approach ensures an accurate understanding of the condition and helps us tailor a personalized treatment plan for your child.
Treatment Options
For arteriovenous malformations, treatment aims to reduce the risk of complications and improve overall quality of life. Options include:
- Observation: Small, asymptomatic AVMs may be monitored over time with regular imaging.
- Endovascular Embolization: Minimally invasive techniques to block abnormal blood flow within the AVM.
- Surgical Removal: Open surgery to excise the AVM entirely, reducing the risk of hemorrhage.
- Stereotactic Radiosurgery: Non-invasive focused radiation treatment to target the AVM and cause it to shrink over time.
The Epilepsy Institute of New Jersey provides comprehensive treatment for children with autism and seizures, combining state-of-the-art techniques with compassionate care.
Our Commitment to Your Child's Health
“I am neurosurgeon living in New Jersey, board-certified by both the American Board of Neurosurgery (ABNS) and Pediatric Neurosurgery (ABPNS). I specialize in the surgical treatment of complex epilepsy and serve as the Director of the Epilepsy Institute of New Jersey, Chief of Pediatric Epilepsy Surgery at Sanzari Children's Hospital, and Chief of Pediatric Neurosurgery at Children's Hospital of NJ, where I provide exceptional care for children with complex neurological conditions. Your child's health and well-being are our top priorities.”
