Weakly supervised video anomaly detection (WSVAD) has predominantly focused on temporal localization, identifying when anomalies occur while largely neglecting their spatial extent within frames. Yet, spatial localization is essential for interpretability and practical deployment in real-world settings. We introduce a patch-based spatiotemporal framework for weakly supervised anomaly localization that jointly models where and when anomalies occur. Our approach operates on grid-level patch features and learns region-level anomaly scores under a multiple instance learning paradigm. We further propose a Proximity-Aware Top-k spatiotemporal selection strategy that enables the model to generate fine-grained spatial anomaly maps without requiring bounding-box supervision during training. Our method surpasses existing state-of-the-art approaches across multiple benchmarks, yielding substantial gains in spatiotemporal localization accuracy. In addition, we release frame-level bounding-box annotations for the test sets of two widely used datasets, along with our code and pretrained models, providing new resources to facilitate future research in spatially grounded WSVAD.

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