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To describe seizure outcome and complications in patients with cavernous malformations (CM) undergoing early versus late surgery. A database was created for all CM patients who presented with seizure referred to the neurosurgical clinic at an academic center. A telephone survey and chart review were conducted to evaluate for preoperative and postoperative seizure frequency. Postoperative seizure-free outcome of patients who had ≤2 preoperative seizures versus those that had 2 preoperative seizures was compared. A total of 35 CM patient