PT - JOURNAL ARTICLE AU - Mohamed Abdelsadg AU - Avinash Kumar Kanodia AU - Peter Keston AU - James Galea TI - Unusual case of intracranial dural AV fistula presenting with acute myelopathy AID - 10.1136/bcr-2016-215227 DP - 2016 Apr 27 TA - BMJ Case Reports PG - bcr2016215227 VI - 2016 4099 - http://casereports.bmj.com/content/2016/bcr-2016-215227.short 4100 - http://casereports.bmj.com/content/2016/bcr-2016-215227.full AB - We present a case of intracranial arteriovenous fistula with perimedullary venous drainage presenting with acute myelopathy, which is an unusual presentation of this uncommon condition. Subsequent catheter angiogram defined the arterial feeders from the meningohypophyseal trunk and petrosal branch of the middle meningeal artery. The patient was successfully embolised, resulting in complete obliteration of the fistula, and significant resolution of brainstem and cervical cord changes along with clinical improvement.