Abstract
Stereotactic radiosurgery is an established treatment modality in the management of brain arteriovenous malformations (AVMs). Technological advances in radiation delivery systems associated with improvements in neuroimaging have recently changed radiosurgery indications and results. Besides this advances, and the association with microsurgery and embolization, the management of these benign lesions are still controversial. AVMs in eloquent areas and those with large volumes remain a challenge for all treatment modalities. This article discusses the modern approach of radiosurgery for brain AVMs including new options such as combined approaches and the use of hipofractionated stereotactic radiation for large and high flow lesions.
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