aneurysms are common to develop. Since my first update on here a few years back, I have developed multiple aneurysms as a result of my AVM. The AVM was removed in two surgeries about 4-5 years apart. The first in November 2011 and the second in April 2017. During this time they discovered 2 aneurysms that were not present during the first surgery. My first surgery only removed about 40% of the AVM. The 2nd surgery was thought to have removed ALL of the AVM but unfortunately, in my case, the AVM has started to reform. During my 2017 surgery, Dr. Speztler used Gortex Wrapping for one of the aneurysms he saw but was unable to address the others safely. Following my surgery, I now currently have 3 active aneurysms and one is dormant because of the Gortex. All of the aneurysms were thought to resolve themselves after the AVM was treated but instead more keep forming and they don’t know exactly why, since imagining doesn’t definitively show a nidus(AVM) currently. They can only see the starting of entanglements and “strange, abnormal vessels” as they call it, and deep drains with no obvious starting or ending point. While my case is a bit on the complicated side in general, AVMs can form aneurysms. EITHER can rupture and thus listening to the doctors about treatment options is best. For a 2nd opinion that is worth so much more than the cost ($200), you can submit all your health records, imaging scans to the Barrow Brain and Spine group, and address it to Dr. Michael Lawton. He is the director and you can find more info on their website at www.barrowbrainandspine.com. They are the BEST IN THE WORLD in dealing with AVMs, aneurysms, tumors, and brain/spine-related conditions. They are the leading pioneers in the field. It is worth the 2nd opinion from them. Technically all the neurosurgeons in the cerebrovascular department including residents, fellows, attendings, and teachers all review your records and come to an agreement on the best plan of action for your care. Literally, with 1 submission, you are instantly given more than 20 professional, skilled opinions. Message me here for more information. They did my 2nd opinion and 2nd surgery.