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The Pain Behind The Smiles: Triple Threat Few Know Anything About
The Pain Behind The Smiles: Triple Threat Few Know Anything About

Time of India

time4 days ago

  • Health
  • Time of India

The Pain Behind The Smiles: Triple Threat Few Know Anything About

New Delhi: In a startling revelation on The Great Indian Kapil Show, actor Salman Khan revealed a harrowing truth that belied his trademark smile and action-packed persona. The 59-year-old Bollywood star disclosed that he suffered from three life-altering neurological and vascular conditions: trigeminal neuralgia (TN), brain aneurysm and arteriovenous malformation (AVM). The disclosure was as stunning as it was sobering. Though Khan underwent surgery for trigeminal neuralgia in Los Angeles in 2011, he continues to live with the burden of the remaining diagnoses. Yet, defying medical odds and excruciating pain, the veteran actor remains active, often charging through intense action sequences. TN, often described as 'the suicide disease' due to its unbearable pain, causes sudden, shock-like stabs on one side of the face, usually around the eyes or mouth. The condition, which can be triggered by cold water, cold air or touching specific facial areas called trigger points, is notorious for its debilitating effects. While TN isn't lethal, it severely impacts quality of life and mental health. A brain aneurysm, meanwhile, is a ticking time bomb, caused by a weak spot in a cerebral blood vessel that balloons dangerously, threatening to burst at any moment. AVM, a rare and complex condition, involves a tangled web of abnormal blood vessels that bypass the normal capillary system, directly connecting arteries to veins, raising the risk of catastrophic bleeding. by Taboola by Taboola Sponsored Links Sponsored Links Promoted Links Promoted Links You May Like Ductless Air Conditioners Are Selling Like Crazy [See Why] Keep Cool Click Here Undo Dr Anshu Rohatgi, vice-chairperson, neurology, Sir Ganga Ram Hospital, explained that severe cases could present with intense headaches and sub-arachnoid haemorrhage could potentially lead to limb weakness or unconsciousness. Dr P Sarat Chandra, senior neurosurgery professor, AIIMS, added, "Brain aneurysm and AVMs are potentially fatal. If the blood vessels rupture, the consequences can be stroke, irreversible brain damage, even death." Khan's situation is particularly complex due to potential interactions between these conditions. Medical professionals note that aneurysms or AVMs pressing against the trigeminal nerve may intensify neuralgia symptoms. These conditions aren't directly connected. Dr Pooja Anand, associate consultant neurology, Paras Healthcare, Gurgaon, noted that while these illnesses have different causes and mechanisms, vascular abnormalities are common to both aneurysms and AVMs and their coexistence could potentially affect nearby nerves. Regarding causation, Dr PN Renjen, senior consultant, neurology, Indraprastha Apollo Hospitals, explained that these conditions occasionally influence each other. An AVM might affect blood flow patterns, causing aneurysm formation. Both conditions, when near the trigeminal nerve, could cause neuralgia, though TN doesn't cause the other conditions. Dr Sandhya Koche, principal consultant, neurology, Sri Balaji Action Medical Institute, explained that although uncommon, the concurrent presence of these three conditions is medically feasible, typically resulting from vascular irregularities affecting multiple brain regions. She pointed out that an arteriovenous malformation could lead to both trigeminal nerve complications and aneurysm development. "In addition, patients may experience separate aneurysms or nerve disorders, particularly if they have risk factors, including hypertension, inherited vascular disorders or previous head injuries. Though rare, when these conditions occur together, they highlight the intricate nature of cerebrovascular and neural health, necessitating thorough diagnostic imaging and coordinated care from multiple specialists," said Koche. C handra outlined various treatment options, often customised for individual patients. Microvascular decompression surgery offers effective treatment, while Gamma knife provides a non-invasive alternative, though pain relief may take longer. Aneurysms and AVMs may require surgery, neuro-intervention. Gamma knife treatment could work for AVM only, depending on patient factors and condition severity. "Large aneurysms might need bypass procedures. Neuro-intervention has become increasingly viable, though complete elimination of conditions isn't guaranteed. Complex cases may require combined treatments," he said. Dr Sweta Singla, senior consultant, neurology, Narayana Hospital, Gurgaon, emphasised ongoing medical monitoring through advanced diagnostics and lifestyle modifications. Treatment requires strict medication adherence, avoidance of triggers and prompt attention to warning signs. Risk management includes controlling blood pressure and avoiding smoking and stress. So, behind the glamour of his stardom, Salman Khan is locked in a daily duel with pain and peril. His persistence is not just about celebrity — it is survival.

Salman Khan reveals struggle with AVM and brain aneurysm on Kapil Sharma Show: Know what AVM is, its causes, and why it's so serious
Salman Khan reveals struggle with AVM and brain aneurysm on Kapil Sharma Show: Know what AVM is, its causes, and why it's so serious

Time of India

time5 days ago

  • Health
  • Time of India

Salman Khan reveals struggle with AVM and brain aneurysm on Kapil Sharma Show: Know what AVM is, its causes, and why it's so serious

Salman Khan reveals struggle with AVM and brain aneurysm on Kapil Sharma Show: Know what AVM is, its causes, and why it's so serious When Salman Khan appeared on Netflix's The Great Indian Kapil Show, viewers expected light-hearted banter, career anecdotes, and a touch of nostalgia. What they didn't expect was the Bollywood superstar revealing a list of serious and complex health conditions he quietly battles, while still headlining films and performing high-energy action scenes. At 59, Khan shared that he suffers from trigeminal neuralgia, a brain aneurysm, and arteriovenous malformation (AVM), among other injuries and ailments, including broken ribs. This candid disclosure came after months of speculation about his health, especially after a viral clip from early 2024 showed him looking unusually fatigued at a public event. On the show, Khan didn't shy away from listing his conditions. 'We're still working with trigeminal neuralgia, with an aneurysm in the brain, with AV malformation. We're walking, we're working despite all this,' he said. These aren't minor setbacks; they're medically complex issues, and AVM in particular can pose significant risks, especially when it involves the brain. So what exactly is AVM, how dangerous can it be, and why should the public care? Let's break down what arteriovenous malformation is, how it impacts the brain and body, and why this rare but dangerous condition is suddenly in the spotlight thanks to one of India's biggest stars. What is AVM (Arteriovenous Malformation)? An arteriovenous malformation (AVM) is a rare and abnormal tangle of blood vessels where arteries connect directly to veins without the normal intervening capillaries. According to the Mayo Clinic and the National Institute of Neurological Disorders and Stroke [NINDS], this disrupts the typical blood circulation and oxygen exchange in tissues, especially when the AVM occurs in the brain or spinal cord. In a healthy system, arteries carry oxygen-rich blood from the heart to body tissues, and veins return oxygen-depleted blood back to the lungs and heart. Capillaries serve as the critical link between the two, allowing oxygen and nutrients to be delivered. But in an AVM, according to the National Institute of Neurological Disorders, this middle step is missing. As a result, blood bypasses the tissues that need it, leading to oxygen starvation and, over time, damage or even death of nerve cells. How common is AVM and where does it occur? AVMs are rare and most often congenital, meaning people are born with them, though they may not present symptoms until much later in life. The condition is most commonly found in the brain and spinal cord, but AVMs can occur anywhere in the body. In many cases, AVMs go unnoticed. They're often discovered incidentally, during treatment for another issue or even at autopsy. However, when symptoms do occur, they can be sudden, severe, and potentially life-threatening. What are AVM key symptoms While some people with AVM remain symptom-free for years, others may experience a range of signs depending on the size and location of the malformation. According to the Mayo Clinic and the National Institute of Neurological Disorders and Stroke [NINDS], common symptoms include: Seizures (focal or generalised) Chronic or severe headaches (sometimes migraine-like) Vision problems (especially if the AVM is near the optic pathways) Muscle weakness or paralysis Numbness or abnormal sensations Difficulty speaking or understanding speech (aphasia) Memory issues, confusion, or even hallucinations Impaired coordination or walking Fainting or dizziness Cognitive decline or executive function difficulty In severe cases, especially when an AVM ruptures, it can cause intracranial haemorrhage, leading to stroke, long-term brain damage, or death (NINDS). Why AVMs are dangerous According to the National Institute of Neurological Disorders and Stroke, the biggest risk with AVMs is bleeding. Because the malformed vessels have abnormally thin and weak walls, they are prone to rupture under high pressure. Over time, repeated microbleeds can lead to cumulative brain damage and increase the risk of dementia. If a rupture is massive, the result can be a hemorrhagic stroke, which can cause instant, irreversible damage. This is why AVMs that have bled once are more likely to bleed again, particularly within the first year. Another concern is that large AVMs can compress nearby brain structures, leading to hydrocephalus (fluid buildup), increased intracranial pressure, or additional neurological complications. How AVMs are diagnosed AVMs are usually detected using imaging technologies such as: Cerebral angiography – the gold standard for visualising AVMs (Mayo Clinic) MRI and MRA (Magnetic Resonance Angiography) – useful for mapping brain tissues and blood flow CT scan – effective in spotting bleeding Transcranial Doppler Ultrasound – measures blood flow velocity, helpful for diagnosis (NINDS) In some cases, according to the National Institute of Neurological Disorders and Stroke, a distinct rhythmic "whooshing" sound known as a bruit caused by high-speed blood flow may alert clinicians to an AVM, especially when heard near the skull. AVM treatment options Treatment depends on several factors: the size and location of the AVM, whether it has bled before, and the patient's general health. According to the Mayo Clinic and the National Institute of Neurological Disorders and Stroke [NINDS], options include: Conventional surgery – surgical removal of the AVM Endovascular embolisation – a catheter-based technique to block blood flow to the AVM using glue-like substances or coils Radiosurgery – non-invasive treatment using focused radiation beams to shrink or close the AVM over time E ach of these comes with risks, particularly for AVMs located deep within the brain. The decision to operate or monitor is typically made on a case-by-case basis. What triggers AVM symptoms ? Interestingly, pregnancy and elevated blood pressure are two conditions that can increase AVM-related risks, including bleeding, as per the National Institute of Neurological Disorders and Stroke [NINDS]. Similarly, as in Khan's case, ageing can complicate how these vascular conditions interact. Public awareness: Why Salman Khan's disclosure on AVM matters? For millions of fans who idolise Salman Khan, his health revelation is a wake-up call. AVMs are often invisible until they're catastrophic. By speaking openly, Khan has brought attention to a condition that is poorly understood and rarely discussed. It also raises important questions about mental health, career pressure, and the culture of silent suffering, especially among public figures who are expected to always appear strong and invincible. Living with AVM: Can it be managed? Yes. With early diagnosis and appropriate care, many people with AVM can live relatively normal lives. However, if the malformation bleeds or causes seizures, the stakes become much higher. Regular monitoring and neurological evaluations are key. Some patients choose a watchful waiting approach, especially when the AVM is small and symptom-free. But for others, especially those with a history of bleeding, aggressive intervention is often recommended. One step to a healthier you—join Times Health+ Yoga and feel the change

Salman Khan makes unexpected love confession addressing romance rumours and girlfriends. 'Average is very poor'
Salman Khan makes unexpected love confession addressing romance rumours and girlfriends. 'Average is very poor'

Time of India

time6 days ago

  • Entertainment
  • Time of India

Salman Khan makes unexpected love confession addressing romance rumours and girlfriends. 'Average is very poor'

'I Am Old-School,' Says Salman Links With Leading Ladies and a Canceled Wedding Encounters With Fans and Health Struggles Salman Khan, one of Bollywood's most celebrated stars, recently addressed longstanding speculation about his personal life, revealing that his experience with relationships has been limited. Appearing on the new season of The Great Indian Kapil Show on Netflix, the 59-year-old actor responded to remarks made by host Kapil Sharma about his alleged romantic history, clarifying that contrary to public belief, he has only had three to four serious the conversation, Sharma joked that Salman had been lucky when it came to girlfriends. But the actor responded with candor, saying that if his relationship history was averaged out, it would seem 'very poor.' He explained that although people assume he has dated many women, his relationships were long-term and limited in the duration of some relationships—lasting up to 12 years—Salman compared his approach to the fast-paced dating culture today, where many young people move quickly between partners. He described himself as 'old-school' and emphasized the value he places on long-term his decades-long career, Salman Khan has been romantically linked with several prominent figures in the film industry, including Sangeeta Bijlani, Aishwarya Rai, Katrina Kaif, and Iulia Vantur. Among these, his relationship with Sangeeta Bijlani came closest to marriage. In an earlier conversation on Koffee With Karan, Salman admitted that he had second thoughts before the wedding and called it actor also took a humorous jab at fellow superstar Aamir Khan during the show. Referring to Aamir's new relationship after two divorces, Salman remarked that Aamir is known for chasing perfection and joked that he might finally achieve it with his current partner. He added that perhaps this time, it would be 'the one.'Salman also recalled a recent incident involving a female fan who managed to enter his house by claiming he had invited her. His staff quickly recognized the situation and ensured she returned safely. He mentioned that his house has always had an open-door policy, citing an old story involving filmmaker Ashutosh Gowariker, who once stayed at his residence for an extended period after initially planning a brief from his personal life, Salman addressed concerns about his health. He shared that he has been managing multiple conditions, including trigeminal neuralgia, a brain aneurysm, and AVM, along with bone injuries. Despite these challenges, he remains committed to his acting career. Though his recent film Sikandar did not perform strongly at the box office, Salman affirmed that he is actively working on his next project—a war drama directed by Apoorva Lakhia, which is expected to feature action-packed sequences.

ZAP Surgical Announces First ZAP-X Gyroscopic Radiosurgery
ZAP Surgical Announces First ZAP-X Gyroscopic Radiosurgery

Business Wire

time19-06-2025

  • Health
  • Business Wire

ZAP Surgical Announces First ZAP-X Gyroscopic Radiosurgery

SAN CARLOS, Calif.--(BUSINESS WIRE)--ZAP Surgical Systems, Inc., a global leader in non-invasive robotic brain surgery, today announced the first patient treatments using its ZAP-X® Gyroscopic Radiosurgery® platform in Latin America. Located in Neuland, Boquerón, Paraguay, Radioterapia Concordia ( has officially commenced clinical use, marking a major milestone in the decentralization of state-of-the-art brain tumor care across the region. In its first day of operation, four patients received next-generation stereotactic radiosurgery (SRS) with ZAP-X® for a range of intracranial conditions, including meningioma, acoustic neuroma, trigeminal neuralgia, and arteriovenous malformation (AVM). Historically, patients in the central regions of Latin America have had limited or no access to modern SRS, often requiring travel to large metropolitan hubs like Buenos Aires, São Paulo, or Santiago. Radioterapia Concordia now offers these advanced treatments locally, helping bridge a longstanding healthcare gap for rural communities. 'People in rural areas deserve to receive world-class medical care where they live, from people they understand, and at a fair price,' said Prof. Dr. Peter Douglas Klassen, Founder of Saludconcordia SA. 'With ZAP-X, we are bringing the most advanced SRS capabilities to communities that have long been underserved.' The creation of Radioterapia Concordia is further bolstered by its strategic location along the Bi-Oceanic Corridor—a transformative infrastructure project linking Brazil, Paraguay, Argentina, and Chile to improve regional access and trade. The new cancer center also benefits from its collaborative relationship with ZAP-X Zentrum Lingen in Germany, home to Europe's first ZAP-X system. 'This is more than just a technology deployment—it's a movement toward cooperative medicine,' said MBA MSc Edelgard Loewen, Case Manager at ZAP-X Zentrum Lingen. 'We're witnessing a new model emerge in Latin America—one that rises above the limitations of national and purely private healthcare systems to prioritize patients through altruistic, turnkey cancer care.' As an alternative to open brain surgery, stereotactic radiosurgery is a non-invasive, outpatient procedure used to treat many primary and metastatic brain tumors, as well as other disorders of the head and neck. Unlike traditional surgery however, SRS does not require incisions or anesthesia, and patients often return to normal activities the same day. The ZAP-X system is renowned for its unique gyroscopic design, which enables the delivery of radiosurgical beams from thousands of unique angles. This approach enhances the ability to concentrate radiation precisely on the tumor while minimizing dose to surrounding healthy brain tissue—an important factor in preserving cognitive function. ZAP-X is also the first and only vault-free SRS system, removing the need for costly shielded treatment rooms. Additionally, by utilizing a modern linear accelerator, ZAP-X eliminates the use of Cobalt-60, avoiding the exorbitant costs and regulatory burdens tied to radioactive isotopes. For more information about ZAP Surgical and the ZAP-X system, visit About ZAP Surgical Systems, Inc. ZAP Surgical Systems, Inc. designs and manufactures the ZAP-X® Gyroscopic Radiosurgery® platform. ZAP was founded in 2014 by Dr. John R. Adler, Emeritus Dorothy & TK Chan Professor of Neurosurgery and Radiation Oncology at Stanford University. Dr. Adler is also renowned as the inventor of the CyberKnife ® system and founder of Accuray, Inc. The ZAP-X platform incorporates a unique vault-free design that typically eliminates the need for costly shielded treatment rooms. ZAP-X also utilizes a modern linear accelerator to eliminate legacy use of Cobalt-60. Learn more at ZAP Surgical and follow us on LinkedIn.

Meriden woman with rare brain condition inspires others on social media
Meriden woman with rare brain condition inspires others on social media

Yahoo

time14-06-2025

  • Health
  • Yahoo

Meriden woman with rare brain condition inspires others on social media

HARTFORD, Conn. (WTNH) — A Connecticut woman had no idea she had a rare brain condition since birth until she passed out and was flown to Hartford Hospital, where she would end up needing four surgeries. 'My mom had said that I came to her with a regular headache and she said within a matter of five minutes, I had passed out,' 26-year-old Michaela Williams of Meriden said. That jumpstarted her emergency medical ordeal. Dr. Eric Sussman, a Hartford Hospital neurosurgeon helped save her life. It turns out that Williams was among just 1% of the population to have a condition called arteriovenous malformation, or AVM. It is abnormal tangles of high pressure blood vessels in her brain. They flowed into delicate arteries which started to bleed under pressure. 'Removing the AVM is very, I think, one of the more complex surgeries that we do. But in her case it was just the whole clinical picture of her being sick and really teetering on the edge the whole time she was here,' Sussman, who specializes in vascular surgery, said. Sussman says Williams underwent four surgeries, including a craniotomy, where part of her skull was removed to allow her brain to heal for a period of time. Williams' strength and faith pulled her through. Sussman calls it miraculous. 'I'm still creative. I like to write. I like to paint. I like to go outside,' Williams said, who continues to make uplifting TikTok videos like she did before her diagnosis. She hopes to help others who may be going through a tough time. 'I want them to feel encouraged, understood, heard. I want them to feel like they're not the only one,' Williams would like to make a dating app for others living with brain injuries.'Everybody that follows me on TikTok, they are family. They encourage me, they push me, uplift me and we encourage and push and uplift each other,' Williams said. There are two very positive takeaways from Williams' journey. First, she was very lucky that her mother was home when she first passed out to get her emergency care. Second, Dr. Sussman said that her brain will continue to heal, possibly for a few more years. Copyright 2025 Nexstar Media, Inc. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.

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