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Author ORCID Identifier(s)

Muhammed Suhail S - 0009-0003-4323-0180

Gajalakshmi M - 0009-0005-4764-966

Abstract

Background

Arteriovenous malformations (AVMs) are congenital vascular anomalies that can be present with seizures or hemorrhage. Management strategies vary based on Spetzler-Martin (SM) grading.

Case Presentation

I report a case of a 22-year-old female presenting with recurrent seizures due to an unruptured AVM (SM Grade 3) located in the left medial temporal lobe. Diagnosis was established using MRI and Digital Subtraction Angiography (DSA).

Intervention

The patient underwent single-fraction stereotactic radio-surgery (SRS) with curative intent using a TrueBeam linear accelerator.

Outcome

Post-treatment course was uneventful, and the patient was discharged in stable condition with excellent seizure control and progressive nidus reduction documented on serial imaging over 12 months.

Conclusion

SRS is a feasible and well-tolerated curative modality for managing select unruptured AVMs in eloquent brain regions.

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