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General Principles of AVM Management

Last Updated: September 28, 2018

Figure 1: A giant (>6cm) right temporoparietal AVM is exposed.

The appropriate treatment modality for arteriovenous malformations (AVMs), like any other pathology, should offer results that are better than the natural course of the disease. This is especially true for unruptured AVMs, which have been encountered more frequently in recent years because of the high frequency of magnetic resonance imaging (MRI) studies performed for a variety of other symptoms.

Brain arteriovenous malformations present a unique technical challenge in their diagnosis, evaluation and management. Despite advances in endovascular, radiosurgical, and microsurgical treatment modalities, these vascular lesions are a heterogeneous pathological entity whose behavior is often difficult to predict without interventi...