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Abstract


The simultaneous occurrence of one or more intracr5anial aneurysm and an intracranial arteriovenous malformation (AVM) in a patient is unusual. Four cases of intracranial aneurysm associated with cerebral arteriovenous malformation (AVM) were
found
in a
total of 67 patients with cerebral malformation (AVM). The site of aneurysm was related anatomically to the arterial supplying arteriovenous malformation (AVM) in 3 cases and the bleeding source was aneurysmal rupture in all four cases (100%). It
is
generally accepted that aneurysm is caused by hemodynamic stress result from the presence of an arteriovenous malformation (AVM). The management of the unusual problem is controversial which are surgical obliteration of both vascular lesion in
one
stage
(2 cases ) and surgical obliteration of both vascular lesion in two stages (1 case) were accomplinished with good surgical result.

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