====== Dilemma ====== A dilemma is a [[problem]] offering two unrelated possibilities, neither of which is unambiguously acceptable or preferable. Time and or the perception of the time strongly influences decision-making. The dilemma is sometimes used as a rhetorical device, in the form "you must accept either A or B"; here A and B would be propositions each leading to some further conclusion. Applied incorrectly, it constitutes a false dichotomy, a fallacy. ---- Nikova A, Ganchev D, Birbilis T. Pediatric Dilemma: [[Endovascular]] versus Surgical Intervention for [[Spinal Vascular Malformation]]s. Pediatr Neurosurg. 2018 Jul 23:1-8. doi: 10.1159/000490420. [Epub ahead of print] Review. PubMed PMID: 30036876. [[Ethical dilemma]]. ===== Examples ===== The dilemma between natural [[rupture]] risk and [[adverse outcome]]s of [[intervention]] is of major concern for patients with [[unruptured arteriovenous malformation]]s (AVMs). The existing risk score for [[arteriovenous malformation]] [[rupture]] includes factors that are controversial and lacks prospective validation.