Conclusion

Cerebral AVMs are complex congenital vascular malformations with significant clinical implications, including the risks of intracranial hemorrhage, seizure, stroke, and death. Although cerebral AVMs are most often detected by CT and/or MR imaging, DSA remains the optimal technique for precise characterization of the AVM nidus, its feeders, and its draining veins, as well as for the detection of associated significant anomalies, such as intranidal and extranidal aneurysms and high-flow AVFs. Optimal therapeutic planning requires a multidisciplinary approach, including expertise in vascular neurosurgery, radiation therapy, and interventional neuroradiology. The best treatment option is a case-by-case decision and might involve one or a combination of the following techniques: conventional surgical resection, stereotactic radio-surgery, and endovascular embolization.

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