Explore the intricate case of a 26-year-old male presenting with sudden aphasia initially diagnosed as a cavernoma. Follow the journey as the team discovers a left posterior temporal hematoma on MRI, leading to a subsequent diagnosis of an arteriovenous malformation (AVM). With the nidus accessible for various treatments, delve into the strategic decision-making process between arterial and venous approaches. Witness the procedure and gain valuable insights from our expert panel.