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Cerebral arteriovenous malformations (AVMs) may pose as one of the more formidable challenges to a neurosurgeon.' A multi-disciplinary approach including the neurosurgeon, interventional neuroradiologists and radiosurgeon and neurologists, seems to be the ideal modem day treatment of these lesions. Complications due toAVMs include haemorrhage, mass effects, epilepsy and bruit Pieter Fourie MBChB(PreO, MMed(Rad)Pret

Intravascular approach to the treatment of cerebral arteriovenous malformations and dural arteriovenous fistulae