Patient's question:
What kinds of diseases can pediatric surgery treat, and which symptoms belong to pediatric internal medicine? What should be noted for cerebral vascular malformations?Doctor's answer:
The treatment of vascular malformations has two objectives: ① to control the complications of the malformed blood vessels. ② to prevent their progression. These complications (focal epilepsy, cortical atrophy, development of neurological deficits, and intracerebral hematoma or subarachnoid hemorrhage caused by vascular rupture) can only be controlled by focal epilepsy with the use of antiepileptic drugs. If the epilepsy is difficult to control, the malformed blood vessel can be surgically resected. Vital signs should be closely monitored, with attention paid to the occurrence of intracerebral hematoma, shock, or cerebral edema, and appropriate treatment should be administered. For patients who continue to lower blood pressure postoperatively to treat the "breakthrough of normal perfusion pressure syndrome," specialized treatment and nursing should be provided until blood pressure returns to normal.