Introduction

The brain is supplied by a complex network of arteries and veins. Any abnormality in these blood vessels can lead to serious, sometimes life-threatening conditions such as Brain Aneurysm, Arteriovenous Malformation (AVM), or Arteriovenous Fistula (AVF).

As a specialist in vascular and endovascular neurosurgery, Dr. Ishant Rege in Pune provides advanced treatment for these conditions, helping patients recover with the best possible outcomes.

What is a Brain Aneurysm?

A brain aneurysm is a weak, bulging spot in a blood vessel in the brain, much like a balloon. If the aneurysm ruptures, it can cause bleeding in the brain (subarachnoid hemorrhage), which is a medical emergency.

Symptoms of Brain Aneurysm

Severe sudden headache (“worst headache of my life”)

Nausea and vomiting

Blurred or double vision

Stiff neck

Loss of consciousness in severe cases

Treatment Options

Endovascular Coiling — Minimally invasive procedure using coils to block the aneurysm.

Surgical Clipping — A neurosurgical procedure to close off the aneurysm.

Flow Diversion Devices — Stents that redirect blood flow away from the aneurysm.

What is an AVM (Arteriovenous Malformation)?

An AVM is an abnormal tangle of blood vessels where arteries connect directly to veins without the normal capillary bed. This creates high-pressure blood flow that can rupture, leading to brain haemorrhage, seizures, or neurological problems.

Symptoms of AVM

Seizures

Headaches

Weakness or numbness

Difficulty speaking or understanding speech

Sudden neurological deficits if bleeding occurs

Treatment Options

Microsurgical Removal — Surgical excision of the AVM.

Endovascular Embolization — Catheter-based procedure to block abnormal vessels.

Stereotactic Radiosurgery (Gamma Knife/Linear Accelerator) — Focused radiation to shrink the AVM.

What is an AV Fistula (Arteriovenous Fistula)?

A cerebral AV fistula is an abnormal direct connection between an artery and a vein in the brain. It bypasses the normal circulation, which can lead to increased pressure in veins and risk of rupture.

Symptoms of AV Fistula

Pulsating noise in the head (bruit)

Headaches

Vision disturbances

Neurological deficits

Intracranial hemorrhage in severe cases

Treatment Options

Endovascular Embolization — Minimally invasive method to block the fistula.

Surgical Disconnection — Directly closing the abnormal connection.

Radiosurgery — In select cases where other treatments are not feasible.

Why Choose Dr. Ishant Rege for Vascular Neurosurgery in Pune?

Specialized training in vascular and endovascular neurosurgery

Expertise in minimally invasive and advanced microsurgical techniques

Experienced in managing complex aneurysms, AVMs, and AV fistulas

Multidisciplinary care with ICU support and rehabilitation services

Patient-focused care with emphasis on safety and recovery

The Importance of Early Diagnosis

Many aneurysms, AVMs, and AV fistulas remain silent until they rupture or cause serious symptoms. Early detection through MRI, CT angiography, or digital subtraction angiography (DSA) is critical.

If you experience unexplained severe headaches, seizures, or sudden neurological problems, seek evaluation by a neurosurgeon immediately.

Conclusion

Brain Aneurysm, AVM, and AV Fistula are serious but treatable conditions with modern neurosurgical and endovascular techniques. With early diagnosis and expert care from specialists like Dr. Ishant Rege in Pune, patients can achieve excellent recovery and reduced risk of complications.

If you or your loved one has symptoms, do not wait — consult a neurosurgeon immediately.