Treatment of cerebral arteriovenous malformations: decision making strategy

We have evaluated our therapeutic strategy through the results of modalities used alone or in association. Should the place of each modality be modified ? What could be the influence of the first. consulting physician ? We feel at the present time that small cerebral arteriovenous malformations could be treated by radiosurgery, surgery and embolization according to their characteristics and location. For middle size and some large cerebral arteriovenous malformations, we consider that embolization and/or surgery are adjuvant modalities, specifically when the cerebral arteriovenous malformation is located in an eloquent area.