“…154 -157 AVMs account for 30% to 50% of hemorrhagic strokes in children, 156,158,159 and pediatric patients are more likely to present with hemorrhage than adults, with some series reporting an 80% to 85% hemorrhage rate as their initial presentation. 154,160 Because of the large degree of arteriovenous shunting relative to cardiac output, neonates and infants can present in cardiac failure from arteriovenous shunting. [161][162][163][164][165][166] The remaining pediatric AVM patients present with seizures, headache, neurological deficit, or incidentally.…”