Dural arteriovenous malformations (DAVF) represent 10-15% of cerebral vascular malformations 1. When symptomatic, their manifestations are directly related to the DAVF's location and its pattern of venous drainage. Neurological symptoms may present acutely or progressively, however intracranial hemorrhages occur spontaneously. No case of repeated intermittent hemorrhage due to an intracranial DAVF has been reported. Continuous or recurrent microhemorrhages into subarachnoid spaces are the proposed pathogenesis of superficial siderosis (SS), an uncommon and often unrecognized condition 2-6. Resultant hemosiderin deposits in the leptomeninges, pial and subpial layers progressively induce neuronal damage and are responsible for SS manifestations 2. Although other vascular pathologies have been reported in association with SS such as cavernous malformations, aneurysms and arteriovenous THE CANADIAN JOURNAL OF NEUROLOGICAL SCIENCES