22 patients with meningo-cerebral arteriovenous malformations, we treated in our hospital between 1990 and 1995. Clinical manifestations included headache, nausea, seizure, intracranial hemorrhage, and progressive hemispheric neurologic deficits. The niduses were extensive and had dual feeding from internal and external carotid arteries. All patients underwent endovascular treatment and 4 surgical operations. The curative effect was satisfactory. The clinical and angiographic characteristics were discussed.