Intracranial Hypertension From Dural Arteriovenous Fistula

The clinical presentation of dural arteriovenous fistula (DAVF) is variable and depends on the venous drainage pattern and location. Type I DAVF drains directly into the dural venous sinuses with antegrade flow. DAVF located in the transverse-sigmoid sinus typically present with symptoms of raised intracranial pressure including headache, bruit, pulsatile tinnitus, and visual symptoms. We report a unique case of a 69 year old male who presented with intracranial hypertension secondary to a dural AV fistula that had multiple feeders.