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Within our experience, we now have noted an uncommon condition relating to the existence of a coexisting regular superior petrosal vein (SPV) during surgery for SPS-DAVFs; this condition will not be reported into the literary works. The recognition and preservation of coexisting typical veins are crucial to stop venous complications. Techniques We evaluated the info of 12 customers with SPS-DAVFs who underwent microsurgical therapy. Intraoperative indocyanine green video angiography (I