How would you approach treatment of a brainstem AVM after hemorrhage in a patient not a candidate for surgery or embolization?

The question posted is a challenging one.

First of all, one has to wait, after a bleed, for all the blood products to disappear before an angiogram to have a good idea of the nidus in terms of location within the brain stem, size, and geometry. The patient’s neurological status after a bleed in the b...

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