My Brain Tried to Kill Me: Surviving a Cerebral AVM

By Frankie
Disabled Air Force Veteran | Chronic Illness Advocate | Medical Nerd

Hi, I’m Frankie. I’m a 33-year-old disabled Air Force veteran, and I want to tell you about when I learned I had a cerebral arteriovenous malformation (AVM) — and how it almost killed me before I even knew it was there.

This blog is part of my effort to chronicle my medical history in an honest and empowering way — not just for me, but for anyone living with a complex or rare condition. This is my AVM story, and it starts with a whisper in my ear.

What Is a Cerebral AVM?

A cerebral arteriovenous malformation (AVM) is a rare and potentially life-threatening condition where blood vessels in the brain form an abnormal connection between arteries and veins, bypassing capillaries. This creates a tangle of fragile vessels prone to rupture.

• Occurs in about 0.05% of the population

• Can lead to hemorrhagic stroke if ruptured

• Often goes undetected until it bleeds

In my case, I was lucky. My AVM was found before it ruptured — but only because I trusted my instincts and had a provider who listened.

Early Symptoms: When Something Feels Off

In 2018, I started noticing subtle but unusual symptoms:

• Pulsatile tinnitus in my right ear (a whooshing sound in rhythm with my heartbeat)

• Dizziness and episodes of vertigo

• A strange sense that something neurologically wasn’t quite right

These symptoms weren’t severe enough to stop me from functioning, but they persisted — and I couldn’t ignore them.

As a trained Air Force medic, I’d developed a habit of digging deeper into symptoms. I started researching differentials, and one condition kept resurfacing: cerebral AVM. It felt unlikely, but my gut told me not to brush it off.

The MRI That Changed My Life

I confided in a physician I respected deeply — a mentor and colleague. I told him about the symptoms and the concerns I had based on my research.

Instead of dismissing me, he listened.

He ordered an MRI.

I went on a family trip to Hawaii shortly after the scan. When I returned, I hadn’t heard anything, so I checked the results myself at work (as I was authorized to do).

And there it was:
“Cerebral arteriovenous malformation.”

I felt the ground shift beneath me.

A Life-Threatening Diagnosis: Grade 5 AVM

Further evaluation revealed the full picture:

• Spetzler-Martin Grade 5 AVM (the highest severity level)

• Located in the posterior corpus callosum, deep within the brain

• Considered inoperable at the time due to size and location

Here’s the part that really drove it home:

The AVM carried an estimated 3% risk of rupture per year, compounded annually since birth — which translated to a 78% lifetime risk of rupture by the time I was diagnosed.

This wasn’t just serious — it was potentially fatal. But I had options.

My team recommended a non-invasive approach first:
Gamma Knife radiation.

Gamma Knife Radiation: Hope and Risk

In January 2019, I underwent Gamma Knife radiosurgery — a focused radiation treatment designed to gradually shrink the AVM and reduce the risk of rupture.

The procedure itself went well, but soon after, I experienced complications that taught me just how fragile the balance was in my body. Despite the challenges, Gamma Knife was the safest option to treat something inoperable — at least initially.

Why Sharing My Story Matters

Living with a cerebral AVM is a constant reminder of the fragility of life and the power of persistence. Early symptoms can be subtle, and the diagnosis can come as a shock — but timely detection and treatment can save lives.

And if you’re dealing with an AVM, know that you’re not alone. Medical advances and supportive care can make a difference.

Thank you for reading my story. If you found this helpful, please share to raise awareness about cerebral AVMs and the importance of listening to your body.

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Stay resilient,
Frankie