“…28 AVMs are observed (medical management with surveillance imaging) if the patient is older in age, asymptomatic, has a low hemorrhagic risk (eg, AVM with no history of rupture, associated aneurysms, deep location, or deep venous drainage), or has a high risk of treatment. 28 However, pending more observational data from the ARUBA trial in the future, more patients with unruptured AVMs may be managed conservatively. 31 What are the medical treatment options?-If medically managed, anticonvulsants are used for prophylactic treatment of seizures, medications are given for treatment of headaches, and blood pressure control is optimized.…”