Arteriovenous malformation (AVM) in children is uncommon occurrence defined as presence of arteriovenous shunting through coiled and tortuous vascular connections. We discussed a case of a 3-year old girl presented with acute
left facial asymmetry and right-sided limb weakness. Neurological examination revealed MRC scale of 0 out of 5 for
power on her right side. Magnetic Resonance Angiography (MRA) revealed bilateral thalamic AVM. Surgical resection was not advisable in view of deep-seated location. Paediatric AVM most often become apparent following rupture with majority presents with headache. Ruptured paediatric AVM carries high burden of morbidity and mortality.
Paediatric intracranial haemorrhage posed tremendous concern regarding its long-term outcome. Treatment would
be more appropriate sooner rather than later especially for those presented with ruptured AVM. Surgical resection
remains the gold standard treatment for all accessible paediatric AVMs with embolization and radiosurgery as adjunctive therapies. AVM in paediatric population is rare but carries grim prognosis.