Angiom presented as seizure

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  I had a seizure resulting in cardiac arrest and hospitalization and minor rehab for movement and speech.  MRI's suggest an angioma.  One neurosurgeon thinks it is either a cavernous angioma or an AVM, wanting to perform angiogram to find out for sure.  Another surgeon believes not an AVM, but kept calling it a venous angioma.
  Currently taking 300mg dilantin a day, no siezure since first approx 3 months ago.
  One seems to favor operating, other says that risk of removal (right side above ear) is about equal with risk of remaining on dilantin since I have had no subsequent seizures.  Please give comments.  I am 31, wish to have more children, and am very fatigued on dilantin with daily headaches.  Change meds?  Or comtemplate surgery?
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No easy answer to this question.
If you have an AVM it is felt that a young person has a 50% chance of being either crippled or dead from an AVM during their lifespan. The recommendation for surgery depends on many factors including the patients age, past history of the AVM, location and size of the AVM and of course the patients wishes. Venous angiomas are felt by many doctors to be better left alone. Cavernous malformations are often easy to remove and if left have a risk of bleeding. Most doctors will recommend removal if accessible. It is hard to give more advise without seeing the films. It may be most prudent to have an angiogram to define the lesion. If you wish a second opinion at CCF call 216 444 5559.
This information is provided for general medical information purposes only. Please consult your physician regarding treatment and diagnostic options .