Understanding Aneurysms & AVMs in the Indian Context
Brain aneurysms can rupture and cause subarachnoid hemorrhage (SAH), a life-threatening emergency. AVMs are tangles of abnormal vessels that may bleed or cause seizures/headaches. In Hyderabad and Telangana, timely imaging and early securing of the lesion prevent disability and rebleed.
Our Hyderabad-first pathway coordinates neurosurgery, interventional neuroradiology and ICU care with multilingual counselling (Telugu, Hindi, Urdu, English) for families travelling from Warangal, Karimnagar and Nalgonda.
When to Consult Our Neurovascular Specialists
- ✓ Sudden, severe 'worst-ever' headache
- ✓ Neck stiffness, vomiting or brief loss of consciousness
- ✓ New weakness, speech disturbance or seizures
- ✓ Incidental aneurysm/AVM seen on MRI/CTA/MRA
- ✓ Family history of aneurysm or connective tissue disease
- ✓ Recurrent headaches, pulsatile noise in ear or past bleed
Our Diagnostic Approach
Emergency CT ± CTA
Confirms bleed and locates culprit aneurysm; ICU bundle starts (airway, BP, pain, antiemetics).
MRI/MRA or DSA
Defines aneurysm neck/dome and AVM architecture (nidus, feeders, drainage) to plan clipping vs coiling and AVM resection ± embolisation.
Neurovascular Board Decision
Team selects the safest, most durable option considering age, anatomy and risks.
Pre-Op Optimisation
Vasospasm prophylaxis (nimodipine), seizure control and antiplatelet strategy if stents/flow diverters planned.
Treatment Pathways
- Microsurgical Clipping
- Endovascular Coiling / Flow Diversion
- AVM Resection
- AVM Embolisation (Staged)
- Radiosurgery (Selected)
- Neuro ICU & Vasospasm Management
What to Expect: Your Care Journey
Day 0: Imaging, stabilisation and aneurysm securing (clip/coil) in emergency cases.
Hospital Stay: ICU monitoring, vasospasm watch, early physiotherapy and counselling.
Follow-Up (2–6 weeks): Wound review, activity plan and imaging.
Long-Term (3–12 months): Occlusion checks and staged completion for AVMs if needed.
Technology & Innovation
- Neuronavigation and surgical microscope
- Intraoperative ICG fluorescence angiography
- IONM for eloquent cortex/cranial nerve protection
Preventing Complications
We focus on vasospasm prevention, DVT prophylaxis, infection control and BP management. Education for red flags and medication adherence is reinforced at each visit.
Why Ajuda for Neurovascular Care?
🧠 Durable Solutions
Clipping, coiling and radiosurgery—chosen by a joint neurovascular board.
🏥 ICU-Backed Safety
24/7 neuro ICU, rapid imaging and vasospasm protocols.
📲 Coordinated Follow-Up
Teleconsults, WhatsApp updates and staged imaging reviews.
Take the First Step
Call or WhatsApp 9010550550 for immediate guidance. Early treatment prevents rebleed and stroke.