Discover the case of a 51 year-old female suffering with a high-grade type of dural arteriovenous fistula cavernous sinus. She came to the hospital after a recent history of headache, right-eye pain and blurred vision. Neurological exam revealed elevated intraocular pressure and diplopia, CT brain showed dilated superior ophtalmic veins, and CTA displayed arterial filling cavernous sinus. How did the team manage this difficult case? Watch this presentation from Eef Hendriks during LINNC Americas 2022 to find out!