Frequently Asked Questions About Cerebrovascular Neurosurgery

Table of contents

Get Answers to the Most Common Questions About Brain and Spine Surgery in Los Angeles

Brain & Vascular Surgery
How are arteriovenous malformations (AVMs) diagnosed?
a.

Advanced imaging methods, such as MRI, CT scans, MR angiography, and cerebral angiography, can identify AVMs. These tests provide detailed images of blood vessels in the brain, allowing for precise diagnosis.

Are there non-surgical options for treating an AVM?
a.

While some AVMs can be managed using embolization or radiosurgery, surgical removal remains the most definitive treatment, particularly for high-risk cases.

What happens if an AVM goes untreated?
a.

Untreated AVMs can rupture, potentially causing brain hemorrhages, strokes, or lasting neurological complications.

How is a brain aneurysm detected?
a.

Aneurysms are diagnosed with imaging techniques such as MRI, CT angiography, or cerebral angiography, which provide detailed views of the brain’s blood vessels.

Can a brain aneurysm resolve on its own?
a.

Small, stable aneurysms may remain unchanged for years. However, larger or irregular aneurysms carry a higher risk of rupture and typically require medical intervention.

What are the dangers of an untreated brain aneurysm?
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If an aneurysm ruptures, it can lead to a hemorrhagic stroke, brain damage, or even death. Early detection and treatment significantly improve patient outcomes.

How is a cavernous malformation diagnosed?
a.

Cavernous malformations are identified through imaging studies, such as MRI or CT scans, which provide a clear view of the brain and its blood vessels.

Can cavernous malformations disappear without treatment?
a.

These malformations do not typically go away on their own. While medications may help manage symptoms, surgical removal is often required to prevent complications.

What are the risks of leaving a cavernous malformation untreated?
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If untreated, cavernous malformations may cause seizures, neurological deficits, or internal bleeding, which can lead to long-term impairment. Surgical removal may be necessary to prevent these complications.

When should an open thrombectomy be performed?
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For optimal recovery, an open thrombectomy should ideally be conducted within six to 24 hours of stroke symptom onset.

Is open thrombectomy more effective than medication?
a.

For large blood clots, thrombectomy often provides better outcomes than clot-dissolving drugs alone.

What are the potential complications of open thrombectomy?
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Risks include bleeding, infection, and brain swelling, though these are minimized with skilled surgical care.

What can patients expect after an open thrombectomy?
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Recovery varies, but many patients notice improvements within days. Full recovery depends on stroke severity and rehabilitation efforts.

How is Moyamoya disease diagnosed?
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Diagnosis involves using imaging techniques, such as MRI, CT angiography, and cerebral angiograms, to assess blood flow and confirm the condition.

Are there non-surgical treatments for Moyamoya disease?
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Medications can help manage symptoms, but surgery is the only way to restore blood flow and prevent strokes.

What happens if Moyamoya disease is left untreated?
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Without treatment, Moyamoya disease can lead to recurrent strokes, cognitive decline, or severe brain hemorrhages.

What is recovery like after Moyamoya surgery?
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Patients typically improve over weeks to months, with significant reductions in stroke risk and preserved neurological function.

Is cerebral bypass surgery the only way to prevent strokes?
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Not always. Medications, lifestyle adjustments, and endovascular procedures may help some patients. However, bypass surgery is often the best option for severe arterial blockages or Moyamoya disease.

What is the success rate of cerebral revascularization?
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Success varies by condition, but cerebral bypass procedures generally show excellent long-term results in improving blood flow and preventing strokes.

How long is recovery after cerebral bypass surgery?
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Patients usually spend three to seven days in the hospital, and their condition gradually improves over weeks to months. Physical therapy may aid in recovery.

Will a cerebral bypass permanently cure my condition?
a.

A bypass can restore blood flow and lower stroke risk, but ongoing monitoring, lifestyle changes, and medical management may still be necessary.

What causes hemifacial spasm?
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The condition is usually caused by a blood vessel pressing on the facial nerve. In some cases, tumors or vascular abnormalities are involved.

Is Bell’s palsy the same as a hemifacial spasm?
a.

No. Hemifacial spasm causes involuntary muscle contractions, while Bell’s palsy leads to temporary facial paralysis due to nerve inflammation.

Can hemifacial spasms resolve on their own?
a.

Mild cases may improve without treatment, but symptoms often worsen over time, requiring medical intervention.

Is microvascular decompression (MVD) surgery safe?
a.

MVD is considered a safe and effective procedure when performed by an experienced neurosurgeon. It has a high success rate in relieving symptoms.

What causes trigeminal neuralgia?
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The condition is most commonly caused by a blood vessel pressing on the trigeminal nerve. Other potential causes include multiple sclerosis, tumors, or nerve damage.

Can trigeminal neuralgia go away without treatment?
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Some patients experience symptom-free periods, but the condition often progresses and requires medical intervention for long-term relief.

Is medication effective for trigeminal neuralgia?
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Medication can help manage symptoms, though many patients eventually need additional treatments as pain severity increases.

How successful is microvascular decompression for trigeminal neuralgia?
a.

MVD has a high success rate and provides long-term relief for many patients, though outcomes depend on individual health factors.

Spine Surgery
Is degenerative disc disease a natural part of aging?
a.

Disc degeneration is commonly associated with aging, but not everyone experiences pain. Persistent symptoms may require treatment.

Will I need surgery for degenerative disc disease?
a.

Not necessarily. Many patients benefit from non-surgical treatments, but surgery may be recommended for severe cases.

How long does it take to recover from spinal surgery?
a.

Recovery depends on the procedure. Minimally invasive surgeries typically require less healing time than spinal fusion, which may take several months.

Is spinal stenosis a progressive condition?
a.

Yes, it can worsen over time without treatment. Early intervention can slow progression and relieve symptoms.

Will I need surgery for spinal stenosis?
a.

Surgery is not always required. However, if symptoms persist despite conservative treatments, a surgical procedure may be necessary.

How long does recovery take after spinal stenosis surgery?
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Minimally invasive procedures may allow recovery within weeks, while spinal fusion may require several months.

What are the risks of spinal decompression surgery?
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While generally safe, risks include infection, nerve damage, and the possibility of needing additional procedures if instability is present.

Will I need spinal fusion after decompression surgery?
a.

If spinal instability exists, fusion may be recommended alongside decompression to provide support.

How long does spinal fusion take to heal?
a.

Bone fusion can take several months, but many patients notice pain relief and improved mobility earlier in recovery.

Tumor Surgery
What are the risks of skull base tumor removal?
a.

While a highly specialized procedure, it can also involve damage to surrounding nerves, blood vessels, and brain tissue. An experienced surgeon minimizes these risks.

How long is recovery after skull base tumor surgery?
a.

Patients typically stay in the hospital for several days and require weeks of rest before resuming normal activities. Full recovery may take months.

What are the benefits of minimally invasive techniques?
a.

These approaches use smaller incisions, reduce postoperative pain, lower complication risks, and shorten recovery time.

At California Neurosurgical Specialists, We Provide Compassionate Care.

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