If death is our biggest fear, Joe Dulay has little to fear. He knows how he�s going to die. His brain is going to bleed from a condition he was born with, occult cerebrovascular malformations�an abnormal connection between arteries and veins that causes blood to leak into the brain when a rupture occurs. Leaked blood in the brain can mean loss of consciousness, severe headaches, or paralysis. When blood builds up in the skull it can create too much pressure�crushing brain tissue, and limiting blood supply.