Unruptured intracranial arteriovenous malformations do cause mass effect.

@article{Kumar1985UnrupturedIA,
  title={Unruptured intracranial arteriovenous malformations do cause mass effect.},
  author={A. Jaya Kumar and Fernando Vi{\~n}uela and Allan J. Fox and Arthur E. Rosenbaum},
  journal={AJNR. American journal of neuroradiology},
  year={1985},
  volume={6 1},
  pages={29-32}
}
Sixty patients with clinically unruptured intracranial arteriovenous malformations were studied with high-resolution computed tomography. In 33, local and distant mass effects were evidenced by compression, distortion, and displacement of normal anatomic structures by the malformation, its afferent and efferent vessels, and the surrounding edema. 
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