Fluoroscopy-guided radiofrequency thermocoagulation of the trigeminal ganglion is an alternative treatment for symptomatic trigeminal neuralgia. The most common complications of the procedure are circumscribed to sensitivity alterations. We report a case of an 83-year-old female patient with a history of petroclival meningioma resection, radiotherapy at the level of the petrous apex, and radiofrequency thermocoagulation for trigeminal neuralgia who developed a symptomatic dural arteriovenous fistula as an early complication, which required selective embolization.
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