Cerebral arteriovenous malformations (AVMs) are complex vascular lesions characterized by arterial blood directly flowing into the draining vein and bypassing the capillary bed. Due to the lack of resistance from arterioles and capillaries, both cerebrovascular anatomical structure and cerebral hemodynamics can change significantly. Epilepsy is the second major clinical manifestation of AVMs, which accounts for 20%~45% of all cases, and brings a series of problems to patients. Here we review the advances in the treatment of epilepsy caused by AVMs.