Fairfax Hospital Neuroscience Services - Inova Health System

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Hemorrhagic Stroke • Neurosurgery and Aneurysm clipping – Depending on your risk factors, open surgery may be recommended. The neurosurgeon places a surgical clip around the base of the aneurysm. The clip seals off the aneurysm so blood cannot enter. (See more in depth information of the surgical procedure at the end of this section.) Aneurysm Clipping PATIENT INFORMATION GUIDE FOR STROKE inova.org/neuro
Hemorrhagic Stroke Arteriovenus Malformation (AVM) An uncommon cause of hemorrhage is rupture of an arteriovenous malformation. This is a malformed group of walled blood vessels with which you were born. An arteriovenous malformation (AVM) can burst and allow blood to leak into the brain, damaging or destroying tissue. How should an AVM be treated? Like aneurysms, the best treatment for AVMs depends on many factors, including whether the AVM has bled or not. An AVM that has bled does not always require treatment right away, because the re-bleeding rate is much lower than that for aneurysms. However, the treatment time and options for treatment depend upon the size and location of the AVM, as well as your overall medical condition. The decision for emergency treatment for an AVM depends more on the amount of blood in the brain than the AVM itself. If an AVM has not bled, the treatment decision still depends on size and location of the AVM. Each factor is important and requires consultation with a neurosurgeon and an interventional neuroradiologist who has special skills and training in treating these types of AVMs. Before any treatment is considered, a diagnostic cerebral angiogram is usually performed in order to fully map out a plan for therapy. What treatments are available? • Medical therapy – Unruptured AVMs frequently are found when a patient has a seizure which may mean that the patient will need to take an anti-seizure medication. Ruptured AVMs can lead to headaches, high blood pressure among other problems and may require medications for weeks, months or even years. • Surgery – A craniotomy to completely remove the AVM is the goal of surgery and provides a rapid (instant) decrease in the risk of bleeding from the AVM. The risks of the surgery depend on the size and location of the AVM in the brain. Your neurosurgeon can discuss with you the details of your AVM and treatment. • Endovascular Embolization – AVM embolization can make surgery safer by decreasing the flow and the size of the AVM. Injecting glue-like materials into the blood vessels can block off flow in the AVM in the areas that are hard to reach for the surgeon. Sometimes the AVM can be fully treated by embolization. • Irradiation therapy – A sophisticated technique for delivering radiation to the AVM called “radiosurgery” is also a good treatment option for AVMs. A neurosurgeon and radiation oncologist work together with the patient to formulate a radiation treatment plan that can be done as an outpatient without the need for surgery or embolization. • Multimodality Treatment – For complex AVMs a combination of treatments— surgery, embolization, and radiation—may be required to fully treat an AVM. Careful discussions among all your doctors would coordinate for these rare cases. AVM image used with permission from The Aneurysm and AVM Foundation. PATIENT INFORMATION GUIDE FOR STROKE inova.org/neuro
Page 1 and 2: Inova Fairfax Hospital Neuroscience
Page 3 and 4: Table of Contents Nutrition After a
Page 5 and 6: General Information Neuroscience In
Page 7 and 8: General Information Unit Visiting H
Page 9 and 10: General Information Parking Patient
Page 11 and 12: General Information Medical Records
Page 13 and 14: General Information Your Healthcare
Page 15 and 16: General Information Tips to Avoid a
Page 17 and 18: Meet Your Healthcare Team The indiv
Page 19 and 20: Meet Your Healthcare Team Nutrition
Page 21 and 22: Your Brain The brain stem is an imp
Page 23 and 24: Risk Factors A risk factor is a tra
Page 25 and 26: Stroke Risk Scorecard Each box that
Page 27 and 28: Risk Factors Signs and Symptoms of
Page 29 and 30: Tests and Procedures Computed Tomog
Page 31 and 32: Tests and Procedures Electroencepha
Page 33 and 34: Tests and Procedures Transesophagea
Page 35 and 36: Ischemic Stroke Ischemic Strokes -
Page 37 and 38: Ischemic Stroke Emergency Procedure
Page 39 and 40: Ischemic Stroke Patent Foramen Oval
Page 41 and 42: Hemorrhagic Stroke Hemorrhagic Stro
Page 43 and 44: Hemorrhagic Stroke • Surgical The
Page 45: Hemorrhagic Stroke • Endovascular
Page 49 and 50: Hemorrhagic Stroke • Hydrocephalu
Page 51 and 52: Rehabilitation and Recovery What ar
Page 53 and 54: Rehabilitation and Recovery Brain S
Page 55 and 56: Rehabilitation and Recovery If you
Page 57 and 58: PATIENT INFORMATION GUIDE FOR STROK
Page 59 and 60: Rehabilitation and Recovery Aphasia
Page 61 and 62: Rehabilitation and Recovery What is
Page 63 and 64: Nutrition After a Stroke Everyone w
Page 65 and 66: Nutrition After a Stroke Helpful Ti
Page 67 and 68: A Guide for Heart Healthy Nutrition
Page 69 and 70: Heart Healthy Nutrition FOOD GROUPS
Page 71 and 72: Heart Healthy Nutrition FOOD GROUPS
Page 73 and 74: Leaving the Hospital Preparing for
Page 75 and 76: Leaving the Hospital Get Your Life
Page 77 and 78: Leaving the Hospital Stroke Caregiv
Page 79 and 80: Leaving the Hospital National Aphas
Page 81 and 82: Stroke Smart Magazine Individual Su
Page 83 and 84: Use this scorecard as a guide to ta
Page 85 and 86: Leaving the Hospital Clinical Trial
Page 87 and 88: Neuroscience Units Patient Medicati
Page 89 and 90: Drugs Possible Side Effects What to
Page 91 and 92: Neuroscience Units Patient Medicati
Page 93 and 94: Inova Resources Neuroscience Servic
Page 95 and 96: Inova Resources Interventional Neur
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Inova Resources Sleep Studies What
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Inova Resources Outpatient Diagnost
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Inova Resources Inova Inpatient Acu
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Inova Resources Inova Outpatient Re
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Inova Resources Background informat
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Inova Resources Support Groups Brai
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Brain Diagrams PATIENT INFORMATION
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Brain Diagrams PATIENT INFORMATION
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Brain Diagrams CT Scan of the Brain
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Name of Hotel Rates/Amenities Trans
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Fairfax Hospital Neuroscience Services - Inova Health System

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