• Sujuan Yang, Rongjiao You, Weifeng Wu, Zhisheng Wei, Mingfan Hong, and Zhongxing Peng.
• Department of Neurology, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou, China.
• World Neurosurg. 2020 Feb 1; 134: 348-352.

BackgroundCerebral venous sinus thrombosis (CVST) is always confused with dural arteriovenous fistula (DAVF) in clinical practice; however, both of them are very rare cerebral vascular diseases. In this report, we provide one case of DAVF combined with CVST.Case DescriptionA 75-year-old woman complained of headache with nausea and vomiting for 4 days. Magnetic resonance venography revealed filling defect in the torcular, left transverse, and sigmoid sinus, which strongly suggested sinus thrombosis. The patient underwent anticoagulation treatment for 9 days. However, the manifestation was not alleviated, magnetic resonance imaging detected the lesion was enlarged, and the midline shifted to the left. Digital subtraction angiography examination detected that one fistula classified as Borden type IA was fed by the left superficial temporal artery and drained into the left transverse and sigmoid sinus. Endovascular embolization with ethylene vinyl alcohol was conducted.ConclusionsFollow-up at 6 months indicated that the patient recovered without any sequelae.Copyright © 2019 Elsevier Inc. All rights reserved.

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