Doctors at KIMS Hospitals in Thane successfully carried out a high-risk neurosurgical procedure to remove a ruptured brain arterio-venous malformation (AVM) in a 43-year-old woman who had previously suffered two life-threatening brain hemorrhages.
The complex surgery eliminated the source of repeated bleeding and significantly reduced the patient’s risk of permanent neurological damage.
A Life-Threatening Brain Condition
The patient had been living with a right frontal arterio-venous malformation (AVM)—an abnormal tangle of blood vessels in the brain that disrupts normal blood flow. This condition had already ruptured twice, most recently in July 2025.
Each rupture caused internal bleeding within the brain, placing the patient at an extremely high risk of severe neurological complications or even death. Despite consulting multiple medical centres earlier, doctors had not recommended surgery, and other treatment options failed to provide a definitive solution.
Detailed Evaluation Reveals Surgical Opportunity
When the patient arrived at KIMS Hospitals in Thane, specialists conducted detailed imaging studies. The scans revealed that the AVM was located superficially in the right frontal lobe and was surgically accessible.
Considering the patient’s history of repeated ruptures, doctors concluded that conservative management was no longer a safe option. After thorough medical evaluation and counselling, Ujwal Yeole, Consultant Neurosurgeon at KIMS Hospitals Thane, decided to proceed with microsurgical excision of the malformation.
Precision Microsurgery to Remove the AVM
The surgical team carefully planned the procedure to ensure maximum safety and precision. During the operation, surgeons worked under microscopic guidance to identify the abnormal blood vessels.
First, they systematically controlled and divided the feeding arteries supplying the AVM. Next, they delicately dissected the nidus—the core of the malformation—from the surrounding brain tissue. Finally, they secured the draining veins before completely removing the abnormal vascular structure.
This meticulous step-by-step approach ensured that the malformation was removed while protecting healthy brain tissue.
Multidisciplinary Team Ensures Seamless Care
Ujwal Yeole performed the surgery with intra-operative support from senior neurosurgeon Deepu Banerjee. Meanwhile, the anaesthesia team led by Sangeetha ensured stable intra-operative management.
In addition, the intensive care unit team under Amit and the operation theatre staff headed by Swapnali played a crucial role in delivering coordinated perioperative care.
Smooth Recovery After Surgery
Following the procedure, the patient recovered smoothly without any new neurological deficits or complications. Doctors discharged her in a stable condition, free from the constant threat of another brain hemorrhage.
Expert Insight on AVM Treatment
Commenting on the case, Ujwal Yeole explained that arterio-venous malformations can pose a serious risk once they rupture.
He noted that an AVM acts like a “ticking time bomb” in the brain. After the first rupture, the risk of re-bleeding remains high, and each subsequent hemorrhage can cause devastating consequences. In this patient’s case, surgery offered the most definitive and curative treatment.
According to him, such procedures require exceptional precision, teamwork, and experience. Ultimately, the true success of the surgery lies not only in removing the malformation but also in restoring the patient’s confidence in her health and future.
Importance of Timely Neurosurgical Intervention
This case highlights the importance of timely medical intervention and expert neurosurgical care in managing complex cerebrovascular conditions. The successful outcome also reflects the advanced surgical capabilities and multidisciplinary expertise at KIMS Hospitals in Thane.