On Torvela for brain AVM.  History of having undergone embolisation, gamma knife surgery.  Any problem in conceiving?
Patient: Hi Sir, My spouse aged 32 yrs old suffering with Brain AVM and underwent twice emobolisation and twice gamma knife surgery. Last gamma knife surgery was done in 2009.  From then she is taking  Torleva 1000 mg --> 1-0-1 and Torleva 500mg --> 0-1-0 Will there be any side effects beacaus of this medicine and can we plan for kids ? Doctor: Hi and thanks for the query,There is no major problem with conception. However, I am afraid, in this case the pregnancy shall be considered a high risk pregnancy, certainly because of the increased risk of vascular complications you are exposed to, both during pregnancy and at delivery. These include increased risk embolisation especially after delivery. Torvela is no major concern here. You might need to consult an obstetrician/gynecologist who is very available, and collaboration with your treating cardiologist would be additionally very helpful.Thanks and kind regards,Bain LE, MD