Abstract
It is difficult to decide, whether to choose operative or conservative treatment for areterio-venous malformation (AVM) of the basal ganglia caused by SAH.
Moreover it is a very serious problem with children who have no neurological deficit.
In this paper, we report the case of a six year-old boy with an AVM of the lt. lentriculostriate artery. The main feeders were lt. ant. choroid. a., thalamic a. lt. lenticulo-striat. a., post. choroid. a.. Drainage veins were spheno-pariet. v., and int. cerebr. v..
We chose the operative treatment, as we judged that, because of his youth, he would recover through rehabilitation.
We cut Ft. lenticulo-striat. a. and ant. choroid. a. as feeding artery. After the operation he had hemiplegia and motor aphasia but soon his neurological deficits improved.
After nine months he could stand on the rt. foot and raise the rt. hand straight up.
We suggest that in the case of a child, man should even operate on the AVM of lent-strait. a. area and could make him completely recover.
