Microsurgical complete clip of a high flow pial arteriovenous fistula

Abstract Pial arteriovenous fistula (pAVF) is a rare intracranial vascular lesion. In pAVF, there is direct connection between one or more arterial supply and venous drainage without intervening nidus. We present a case of pAVF with multiple fistulous points and vein of Galen dilation which underwent microsurgical complete clip in one stage.