<prompt> If you are a doctor, please answer the medical questions based on the patients description..can an avm leak while apersn sleeps enough to cause an .intercerbral hemmorrage after I worked 3 ten hour days that involved strenous .physical activities such as liftingIwent to sleep nothing wrong with me around 9:30 pm I awoke 4 am the next morning with my left hand seized shut. then the symtoms went .away after I pried my left hand open .because I couldn t open iton its own.then at 5 am Ihad a intercerbral .hemorrage. arteriovenous malformation rupter right frontal lobe .  <response>: Hi, Thank you for posting your query. I have noted your symptoms. It is difficult to ascertain the reason for rupture of anterior venous malformation AVM. Most often, the reasons are not known and occurs at a rate of 2 per year. This means that all people would have a rupture of AVM, if they survived for fifty years or more after the diagnosis of AVM. You should continue anti-epileptic Chat Doctor. In addition, you should sleep adequately- 7 to 8 hours per night and avoid stress. I hope it helps. Best wishes, 