**7. Conclusion**

Cerebral arteriovenous malformations (cAVMs) are rare congenital disease. However, they are considered as a significant cause of hemorrhagic stroke in

children and young adults. They account for 33% of intracerebral hemorrhage in young patients. Although it is congenital disease, patients with cAVMs mostly present in their second and fourth decades of life. Intracerebral hemorrhage is the most common presentation of AVM patients. Imaging such as CT, MRI, and angiography is advantageous in diagnosis, grading, risk assessment, and posttherapeutic follow-up. cAVMs are graded by many grading systems. However, Spetzler-Martin grading and supplementary Spetzler-Martin grading scales are the most important grading scales as they can be used to assess risk of postoperative complications and therapeutic outcomes. Therefore, they are beneficial in deciding best therapeutic approach for each patient. There are three therapeutic modalities for management of cAVMs. The multidisciplinary team approach is the best for management of cAVM patients. The surgical excision of cAVM gives definitive therapy in cAVM patients. Radiosurgery is a curative approach in selected cAVM patients, and embolisation is rarely used as a sole therapy. It is usually used as adjunctive therapy to microsurgery and SRS.
