Endoscopy Gastroscopy

May.26, 2010 in Gastroscope

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Endoscopy Gastroscopy

Can a person have more than one av malformation in the body?

Last year my husband had two episodes of hematemesis or vomitting of blood. He underwent series of tests like gastroscopy, endoscopy, colonoscopy, gi series, etc. He also had an abdominal ct scan, wherein they found what they suspect to be an av malformation in the spleen. An angiogram was performed and true enough he had av malformation in the spleen. Subsquently he underwent spleenectomy. Everything went well. But after a few months, or roughly 9 months after he felt weakness on his left hand and arm. He was advised to drink b-complex vitamins. Its now almost a year after his operation and he still feels weakness on his left arm. A doctor recommended physical therapy, and another said that he might have another av malformation in other parts of his body particularly in the brain. Is this possible? Does the symptom he now feels suggest that there is an av malformation in his brain?

While it's certainly possible there are more AV malformations, it would be hasty to conclude so based on weakness in the left arm. There are a few clues an examiner might use to determine what's causing the weakness. Reflexes are one. If the reflexes in the left arm are diminished, that's evidence of a problem with the muscle or motor neurons directly supplying the muscles of the arm, or maybe a pinched nerve leaving the neck. If the reflexes are hyperactive compared to the right arm, that might be evidence for damage to a higher motor neuron, which could possibly implicate something in the brain.

Nobody can answer this question except a doctor who performs an appropriate history and physical. It's definitely a problem that could be worked up with a minimum of difficulty.

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