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0001). Interventional treatment was utilized in 220 (81.5%) contemporary patients compared to 49 (29.2%) historical patients (P less then 0.0001). Conclusions Compared to 40 years ago, more patients are presenting with incidentally discovered intracranial AVMs and are undergoing interventional treatment. Better understanding of the natural history, developments in endovascular therapy and stereotactic radiosurgery as well as improvements in microsurgical techniques have led to a substantial increase in patients undergoing invasive treatm