What to do if a patient with a cavernous hemangioma in the brain is in urgent need

Hello! Hemangiomas are recommended to be detected early. In general, hemangiomas grow gradually, and if the large tumor compresses the surrounding nerves, it will cause abnormal neuronal discharge, which can lead to epilepsy.

Hemangiomas do not have a substantial envelope, and surgery is not clean and easy to resect. Surgery is risky.

Intracranial hemangiomas are recommended to be taken internally**. Controlling the growth of the tumor improves the patient's symptoms.

Hemangiomas are necessarily genetically inherited, but not necessarily hereditary.

It is best to go to a regular hospital as soon as possible if there is a cerebral hemangioma**, and some cavernous hemangiomas gradually enlarge, resulting in a mass effect that leads to the gradual aggravation of neurological dysfunction. The clinical course is highly variable and can include acute or chronic neurologic deficits, with periods of remission or progressive exacerbations.

There are three types of cavernous hemangiomas: observation, surgery, and gamma knife. Surgery is limited to superficial, less risky, symptomatic cases.

Gamma Knife is indicated for deep lesions, symptomatic cases. Observation is suitable for brain stem positions, with high surgical risk, incidental findings, and no obvious symptoms.

**Hemangioma can only be relieved by surgery at present**, and there is no drug to alleviate **, and the hospital must be selected with qualifications and guarantees. You can go to my official website for consultation.

Hemangioma, also known as infantile hemangioma (IH), is the most common benign tumor in infants and young children, which is a true vascular tumor caused by the excessive proliferation of normal vascular tissue in the mesoderm. Hemangiomas tend to occur in the head, face, and neck, followed by the limbs and trunk. Occurs in about 30% of neonates at birth and usually grows slowly at 2 or 4 weeks of age, resulting in 10% to 12% at 1 year of age.

Female infants are more common than male infants, with a ratio of 2 5:1, and the proportion of multiple babies is 15% to 30%.

Cavernous hemangiomas (also called venous malformations): They are usually made up of small veins and fatty tissue. The shape and texture are sponge-like, so it is called cavernous hemangioma.

Most of them grow in the subcutaneous tissue, but they can also be in the muscles, and a few can be in the bones or internal organs. Subcutaneous cavernous hemangiomas may cause a slight local bulge,** normal,** or blue or purple, and the lump is soft and well-defined. If a cavernous hemangioma grows between deep muscles, it is called an "interscalene hemangioma."

Cavernous hemangiomas do not resolve on their own for life.

Suggestion: Hemangioma is neither a department nor an oncology department, now many places have specialized hemangioma hospitals, hope to go to regular hospitals, early detection and early **, infants and young children are often minimally invasive, the effect is very good.

The symptoms of cerebral hemangioma vary from person to person, because the clinical symptoms of each patient's tumor growth location are also different, and most patients will have headache, nausea and other symptoms. You may also experience symptoms of epilepsy, which can cause bleeding in the brain in severe cases, which can be life-threatening. It is recommended that patients go to a regular hospital as soon as possible**.

so as not to bring more serious consequences to your body.

Conservatism** Based on the natural history of the disease, cavernous hemangiomas that are asymptomatic or have only a mild headache can be conservative** and followed up regularly.

Surgery** Surgery should be performed in patients with significant symptoms such as neurologic deficits, visible hemorrhage (even if only 1 episode), refractory epilepsy, enlarged lesions, or high intracranial pressure**.

Radiation** The efficacy of conventional radiotherapy and stereotactic radiosurgery for cavernous hemangiomas is uncertain, and radiation may induce cavernous hemangiomas. Therefore, adjuvant radiotherapy is reserved for lesions located in vital functional areas or residual from surgery. There is currently no evidence that radiotherapy is effective in controlling epilepsy.

It depends on the type of hemangioma. Tubular tumors are targeted according to different age levels, different parts, different types, and different growth trends. The size of the hemangioma.

** The time is different. The charges are all different. So there is no concept of exactly how much money is needed.

With the development of medical treatment, the first problem of hemangioma is no longer a problem. The economic level of each region is inconsistent, and the medical conditions are not uniform, and the areas with developed economic level have relatively advanced medical equipment. It can make the hemangioma get a better **.

Zhang Shengde of Shanghai Cao'an Hospital launched a minimally invasive mediated **.

It should be "cerebral cavernous hemangioma", which is a kind of cerebral vascular malformation, and the first choice for surgery, and the effect of gamma knife is not good.

Cavernous hemangiomas in the brainstem, including medulla oblongata, are not candidates for gamma knife** because cavernous hemangiomas are not sensitive to gamma knife** and may induce bleeding after gamma. But when surgery is not possible, it is understandable to try to bury it with a gamma knife. If the diagnosis is confirmed, surgery is the preferred option.

Because the position and function of the medulla oblongata are extremely important, the surgical conditions and equipment requirements are very high, and they need to be carried out under the guidance of functional neuronavigation and intraoperative magnetic resonance, and only the General Hospital of the Chinese People's Liberation Army (301 Hospital) in Beijing has such conditions in China.

As for the shrinkage of the lesion, it is not necessarily the effect of the gamma knife. This type of lesion increases in size when it bleeds, and after hemorrhage, as the hematoma resorbs, decreases over time, which is a normal progression but not a sign of improvement. If the lesion is not completely removed, there is a risk of bleeding again later, leading to more serious consequences.

Therefore, this patient still needs to be treated as soon as possible.

At present, there are only two options for cavernous hemangioma, one is conservative, and the other is a surgical solution.

Conservative**, in fact, is to recuperate at home according to the patient's symptoms, or live and work normally, just change the habits of life, quit smoking and drinking, do not stay up late, do not do heavy work, tired work, maintain a healthy diet and mental health, wait for the natural absorption of the human body, blood clots in the brain, and the symptoms will disappear naturally. If there are multiple bleeding times in a year, then surgery is indicated.

Surgery is by far the only treatment for blood cavernous hemangiomas**.

Hemangiomas are congenital malformations of blood vessels. It can be divided into capillary hemangioma and cavernous hemangioma, cranoid hemangioma. Hemangiomas are benign lesions that usually worsen rarely.

If there are no symptoms, dynamic observation, if there are other uncomfortable symptoms in the body, surgical resection or local minimally invasive** is the mainstay, and it can be clinical**.

Early detection, early **, it is recommended to ** hemangioma to a regular professional hospital. **Hemangioma can not simply remove the superficial symptoms, only by removing the proliferative endothelial cells and inhibiting cell proliferation, can the hemangioma be completely removed.