Dural arteriovenous fistulas (DAVF) involving the craniocervical junction a
re uncommon lesions that may result in neurological deficits referable to p
osterior fossa structures and/or the spinal cord. We report on two patients
with cranio cervical junction DAVF whose venous drainage involved the cerv
ical spinal cord. Both cases presented with progressive quadriparesis and p
arenchymal magnetic resonance signal abnormality of the cervical spinal cor
d. Both patients improved following embolization of the fistulas. AVF of th
e craniocervical junction are an uncommon, but important cause of treatable
neurological deficits referable to this region of the nervous system.