The article discusses the etiology, pathogenesis, classification, principles of diagnosis and tactics of surgical treatment of dural arteriovenous fistulas. Two clinical cases of successful treatment of patients with symptomatic dural arteriovenous fistulas are presented.

This clinical case demonstrates a rare phenomenon in neurosurgical practice — a combination of multiple cerebral aneurysms in the acute period of subarachnoid hemorrhage with craniopharyngioma. A clinical case of an aneurysm of the anterior communicating artery (АСА), intact aneurysms of both middle cerebral arteries (MCA) and craniopharyngioma of cell localization in a 52-year-old patient is presented. A decision was made on one-stage surgical treatment — clipping of a ruptured АСА aneurysm, an intact aneurysm of the right MCA (aneurysm of the left MCA did not require surgical treatment due to its small size) and removal of a craniopharyngioma of cell localization. The postoperative course is smooth, there is no increase in neurological symptoms and the appearance of endocrine disorders, the patient was discharged under the supervision of a neurologist at the place of residence.

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