Multiple Dural Arteriovenous Fistulas in the Superior Sagittal Sinus Region with Reversible Parkinsonism and Urinary Incontinence as Rare Presentations: A Case Report

Background: Dural Arteriovenous Fistula (DAVF), characterized by abnormally direct connections between meningeal arteries and veins or dural venous sinuses, is a rare subtype among the intracranial arteriovenous malformations. Although clinical manifestations of DAVF are very variable depending on locations size drainage, parkinsonism urinary incontinence rarely reported. Here, we present case with secondary to DAVF. Case Presentation: A 50-year-old man was admitted for progressively worsening weakness his left lower limb over year four months. Neurological examination revealed rigidity bradykinesia upper without an obvious tremor. Magnetic resonance imaging exhibited diffuse white matter hyperintensities in bilateral centrum semiovale. Cranial magnetic venography extensive tortuous Digital subtraction angiography multiple bilaterally distributed superior sagittal sinus, supplied occipital superficial temporal arteries. In one follow-up, patient completely cured after endovascular treatment according symptoms follow-up results. Conclusion: This report enriches presentations incontinence, which crucial diagnostic clue be aware possibility. Moreover, these can relieved timely treatment.