 My name is Bendo Gabriel. I come from Tanzania. I have born to Kili Manjaro. I came here for treatment. I came with my niece Rita Fredricki. She is studying from two, sixty class. So when she is studying, she fall down. Then she got a problem to the head. We went to National Hospital in Biri in Tanzania. She stayed at ICU almost one month for treatment. So after that, their advice is to come in India for more treatment. So we connect her to insurance in our country. Then they help us to come in Manipal Hospital in Bangaro. We recently had this 16-year-old girl come from Tanzania. She had a history of a sudden loss of consciousness and was admitted in a hospital in Tanzania. On an evaluation they found that she had a large bleed in the brain and for which required ICU admission for almost a month and hospitalization for a prolonged duration of time. And they evaluated during that time they found that the patient had a large arterial venous malformation in the brain. So they did the initial evaluation, they did the angiogram, found this large deep-seated AVM. It was in an area called the splenium of the corpus callosum, which is in the middle of the brain. And once they stabilized her and once her consciousness level improved over a period of time they referred her to our hospital for further management. So arterial venous malformations or AVMs are extremely rare disorders which can present at any age group. When they present in children they come in with strokes and unfortunately once AVMs have ruptured there is a lifelong risk of them re- rupturing which can be fatal and can also sometimes result in significant paralysis or mental dysfunction. So once these AVMs are detected it is absolutely essential to treat them early and completely. There is no half treatment on AVMs. First day I was very afraid for surgery but when I see after surgery one day 12 hours she come after one hour she can speak everything like nothing done to the head. So this arterial venous malformation was bang in the geometric center of the brain, very deep-seated and the main problems that we have with this sort of AVMs are the deep-seated location the limited access which we have in terms of corridors to go through it and the fact that there are blood vessels which are very difficult to access during surgery. So despite all these hurdles we were able to micro surgically through a very long operation remove it and having done this procedure this patient should be cured. So here are the poster and the angiograms showing you this tangle of blood vessels before the surgery and here you see after surgery the angiogram looks absolutely normal. This young girl should go on to lead a very normal life over time. What I can tell the others patients they don't afraid to come to treatment at India. They are very, very careful. They can come to see Dr. Swati Kishita and Dr. Bopan at Manipa Hospital in Bangaro. I advise them to come to Manipa Hospital in Bangaro to get treatment. They are very good. So at Manipa Hospital we are well equipped to handle the most complex of neurovascular cases and the pediatric and the adult age group.