Treatment of cerebral arteriovenous malformations: decision making strategy

We have evaluated our therapeutic strategy through the results of modalitie s used alone or in association. Should the place of each modality be modifi ed ? 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 th eir characteristics and location. For middle size and some large cerebral arteriovenous malformations, we con sider that embolization and/or surgery are adjuvant modalities, specificall y when the cerebral arteriovenous malformation is located in an eloquent ar ea.