brain-spine-centre.com - Brain disorder arteriovenous malformation (AVM) is an abnormal tangle of blood vessels in the brain. Center for brain and spine care has got highly qualified team of neurosurgeons those who specilised in treatments for brain arterial avm malformation, seizures, brain hemorrhage, hemorrhage, blood clot, bleeding in brain etc.

1. An interesting case of
Arterio venous malformation

2. HISTORY
 40 year old lady, receptionist by profession
 Had 1 episode of sensory seizure 2 months
ago.
 She was unable to wash her hand after lunch
and collapsed.
 Found to have low BP
 Rest for 1 week and then resumed work

3.  Patient felt very weak
 Took leave from work 2 weeks after resuming
work
 Taken to nearby hospital
 MRI brain plain – LEFT FRONTAL AVM. Dilation of
the left MCA and ACA. No hemorrhage seen.
 Referred here for furthur management

4. Examination
 Conscious, alert
 Systemic examination – no abnormality
 CNS- no cranial nerve deficit
no motor or sensory deficit
no neck rigidity, DTR -2+
plantars - flexor bilaterally
cerebellar system – normal

5. MRI
BRAIN
• Tuft of vessels in Click icon to add picture
the left frontal
region.
• Extra-axial
• Dilation of ACA
and MCA branches
• No thrombosis
• No hemorrhage

6. Cerebral angiogram
Large left frontal AVM
• Nidus measuring approximately 5cm. Feeders
off left A3 segment of left ACA and M3
segment of left MCA
• No aneurysm seen in relation to the feeding
arteries or intranidal

12. MANAGEMENT -

13. POST OPERATIVE CT

14. After the procedure she could
lift her hands and also smile