Cerebral arteriovenous malformations (CAVMs) may affect about 5-10% of HHT patients. Generally, the neurological symptoms in HHT depend on PAVMs, but it is not uncommon that seizures or paraparesis masks the presence of CAVMs. A subarachnoid hemorrhage is the most severe complication of CAVMs, so severe as to justify screening procedures.1-7-1 Angio-MRI and angiography represent the main diagnostic techniques. Current therapy consists of neurovascular surgery, embolotherapy, and stereotactic radiosurgery.1-1-1
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The use of dumbbells gives you a much more comprehensive strengthening effect because the workout engages your stabilizer muscles, in addition to the muscle you may be pin-pointing. Without all of the belts and artificial stabilizers of a machine, you also engage your core muscles, which are your body's natural stabilizers.