Question
What kind of diseases can pediatric surgery treat, and which symptoms belong to pediatric internal medicine? What should be noted about cerebral vascular malformations?
Answer
The treatment goals for vascular malformations include: ①controlling the complications of the malformed vessels; ②preventing their deterioration. Common complications include limited epilepsy, cortical atrophy, development of neurological deficits, and intracerebral hemorrhage or subarachnoid hemorrhage caused by vessel rupture. Among them, limited epilepsy is usually controlled after the use of antiepileptic drugs. For those with difficult-to-control epilepsy, attempts can be made to remove the malformed vessels, and close monitoring of vital signs is necessary to note any occurrence of intracerebral hemorrhage, shock, or brain edema, and appropriate treatment should be administered. For patients who continue to lower blood pressure to treat “normal perfusion pressure breakthrough syndrome” after surgery, there should be dedicated treatment and care until blood pressure returns to normal.