Female 23 Yrs with severe headache -diagnosed with large AVM

Several updates in last one week. We tried multiple routes 1. Shared all the reports with our doctors network including neurologists and neurosurgeons 2. All were of the opinion it's a large AVM and needs to be operated. 3. One specific clinical opinion from a renowned neuro-surgeon Dr Paritosh Pandey , who had operated just couple of months earlier another complicated cases of one of our patient - "This patient has a large AVM, which has probably ruptured. It is a very complicated AVM, and needs evaluation with MRI and DSA. This AVM is large for Gamma knife radiosurgery. Ideally, this will require a couple of session of embolization, followed by surgery.” 4. But the husband , currently without job, really cannot afford costly treatment. 5. Based on the above the cost wise feedback was "That (above treatment in 3) is an expensive proposition, as embolization costs money for materials. Upfront surgery is doable, but carries risk of short term deficit...

Patient: Female 23 years Symptom: Severe headache and vomit in April end 2017 Treatment course: A. Visited NRS Hospital OPD CT Scan done Admitted to hospital Diagnosed with AVM Referred for Neurosurgery But due to high risk factor surgery cannot be done at NRS B. Visited Private Clinic – consulted Neurologist Did CT Angiography Confirmed presence of large AVM Surgery must, which was estimated to be approx. 4 lakhs. The Patient’s family cannot afford 4 Lakhs and so we are trying to find out where these surgery can happen free or at a minimum subsidized cost. We are trying in Bangur Institute of Neurology but as of now, it seems, that might not be possible for varied reasons. Due to the large AVM, couple of Neurologists have mentioned to get the surgery done at NIMHANS (also it will be free). As such if any one of you have any contact with NIMHANS please provide that contact to me at rsengupta@missionarogya.org Or if you have any other su...