FIGURE 122.3 T1-weighted sagittal MRI demonstrates an AVM in the right corpus callosum with intraventricular hemorrhage with main feeding vessel from right pericallosal artery and draining into the right internal cerebral vein Management The currently used treatments for AVMs include: (1) Microsurgical resection only, (2) preoperative endovascular embolization followed by microsurgical resection, (3) stereotactic radiosurgery only, (4) preprocedural endovascular embolization followed by radiosurgical treatment, (5) endovascular embolization only, and (6) observation only The ultimate goal for all of these modalities is cure for the patient; however, the only way to achieve cure is with complete obliteration of the AVM Microsurgery is the gold standard for resection of small superficial AVMs that other methods of treatment must be measured against There is