Dural arteriovenous fistulas are rare vascular malformations presentin
g with very different clinical signs, depending on the pattern of veno
us drainage. Retrograde leptomeningeal venous drainage is significantl
y correlated with a progressive neurological presentation. A case of a
dural arteriovenous fistula with corticaI venous drainage is presente
d. The draining vein was frankly aneurysmal dilated. Rupture of this V
enous aneurysm caused an intracerebral hemorrhage. The venous varix an
d the hematoma were microsurgically resected and evacuated.