Treatment decisions in brain AVMs: the case for and against surgery.

Thus, it is clear that intracranial AVMs are a complex and heterogeneous condition, as are the patients they afflict. There is no true single strategy that is successful in even a majority of patients. The process of evaluation and management of AVM patients is a very strong argument for the creation of a "stroke center" in which a multidisciplinary team of cerebrovascular practitioners interacts collegially and effectively on a day-to-day basis for the management of the gamut of ischemic and hemorrhagic stroke problems.