A 72-year-old woman who presented with a unilateral oculomotor nerve palsy
was shown to have a very rare condition: multiple dural arteriovenous fistu
lae (DAVF) involving the cavernous and sphenoparietal sinuses. The sphenopa
rietal DAVF was cured completely by transarterial embolisation. Symptomatic
relief was accomplished by this procedure. The cavernous sinus DAVF progre
ssed to acquire cortical venous drainage, and was obliterated completely by
transvenous embolisation.