Seizures are one of the main clinical manifestations of cerebrovascular malformation (AVM), accounting for about 15% to 47% of all patients. In the last 20 years or so, due to the development of interventional and microsurgical techniques, the treatment of AVM has made great progress, and satisfactory results have been achieved in the control of postoperative seizures in patients with epilepsy as a manifestation, but there are differences in the control of seizures with various treatments. Epileptic symptoms of cerebral AVM can occur in the presence of intracranial hemorrhage or in isolation. Epilepsy associated with cerebral hemorrhage is related to the stimulation of blood, and the vast majority of patients will not have persistent seizures. In some patients with recurrent seizures, with antiepileptic drug therapy, most patients can stop the drug without seizures when the hematoma is absorbed, and in only a small number of patients, epileptogenic foci may form around the hematoma due to factors such as mechanization and gliosis. In addition, the arteriovenous malformation in the temporal lobe has an ignition effect and can also cause seizures. The remission of epilepsy after treatment of cerebral AVM is related to the elimination of the factors causing epilepsy. Microsurgery has the most definite postoperative epilepsy improvement due to the ability to directly remove the cerebral AVM and maximize the elimination of epileptogenic factors. seizures, but approximately the vast majority of these patients improved from preoperative levels, and, of course, the remainder were similar to or even worse than preoperatively. Interventional embolization can partially eliminate the “blood theft” and “ignition effect” of AVM, and is also effective in controlling epilepsy. Both our experience and that of Titan Hospital confirm that more than 70% of patients with epilepsy as a manifestation have good control of epilepsy symptoms after embolization of most or all of the malformations. Stereotactic radiation therapy alone can also control seizures. A 2004 data set from the Mayo Clinic confirmed that 78% of patients had better seizure control at the 3-year follow-up after radiation therapy, and 51% of these patients had no further seizures. It can be seen that whatever method of treatment is used, the seizures caused by AVM can be better controlled, although some patients still need oral antiepileptic drugs after the above treatment, but most of them can control the seizures with combined medication.