A 47-year-old man with a right parieto-occipital grade 2 AVM discovered incidentally during a work-up for head trauma after a fall. A and B, AP and lateral views of the first diagnostic angiogram. C, Note arterials feeders coming from the MCA, ACA, and PCA, as well as n-BCA from 2 prior embolizations. D, After superselective catheterization of the AVM through a PCA feeder, propofol was injected, causing proximal left-legged weakness. Further embolization was withheld, and the patient was referred for radiosurgery after refusing surgery.