Unraveling Brain Vascular Malformations: From Cavernoma to AVM
This interactive session will provide neurologists with clinically actionable approaches to diagnosing and managing cerebral cavernous malformations (CCM) and arteriovenous malformations (AVM), with special attention to emergent presentations in the ER. Through case-based examples and evidence from recent literature, participants will learn to triage cavernomas found on acute neuroimaging, differentiate familial vs. sporadic cases, and address controversial management questions—most notably the use of anticoagulation in CCM/AVM patients with atrial fibrillation or DVT. Novel insights into risk stratification and co-morbidity management will be shared, aiming to empower neurologists to address gaps in understanding and improve patient outcomes.
Target Audience
- Physicians
- Physician Assistants
- Advanced Practice Nurses
- Registered Nurses
- Licensed Practical Nurses
Learning Objectives
Learners will be able to:
- Describe the epidemiology, genetic underpinnings, and imaging characteristics of cerebral cavernous malformations (CCM) and arteriovenous malformations (AVM).
- Summarize current management guidelines and evaluate controversies in the treatment of CCM and AVM, including considerations for anticoagulation in patients with comorbid conditions.
- Identify common diagnostic and therapeutic pitfalls in the evaluation and management of brain vascular malformations.
- Differentiate familial versus sporadic CCMs using clinical, radiological, and genetic criteria.
- Implement stratified management strategies based on bleeding risk, lesion location, and individual patient history.
- Discuss case-based reasoning to triage incidentally discovered cavernomas in emergency settings, including recognition of red flags and indications for neurosurgical referral.
Atif Zafar, MD
Debra Chionis, MS, ACE-MES, ACSM-CEP
Robert Fishman, MD
Caitlyn Boyd, MHA, MSN, RN, CPHQ, CPAHA-Telestroke
Muhammad Saeed, Bcom
This activity has been submitted to the Emergency Nurses Association for approval to award contact hours. The Emergency Nurses Association is accredited as an approver of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.
Available Credit
- 1.00 AMA PRA Category 1 Credit™
TeleSpecialists is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
TeleSpecialists designates this Live activity for a maximum of 1.00 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

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