Objective   To investigate the therapeutic methods

efficacy

and prognosis for cavernous sinus dural arteriovenous fistula (DAVF).     Methods   A total of 25 patients underwent DSA and were treated by compression of common carotid artery or just follow-up (8 cases)

transarterial embolization (13 cases)

transvenous embolization (3 cases)

respectively. Transvenous embolization was carried out in 1 case after palliative transarterial embolization.     Results   Clinical cure or alleviation was achieved in 4 out of 8 cases treated by compression of common carotid artery or follow-up only. Immediate complete obliteration of the fistula was achieved in 4 out of 13 cases treated by transarterial embolization. Worsening of ocular symptoms was observed in 1 case following palliative transarterial embolization

and complete occlusion of the fistula was achieved by urgent transvenous embolization. Immediate complete obliteration of the fistula was achieved in all the cases treated by transvenous embolization.     Conclusion   Most cavernous sinus DAVFs are benign and stable. Familiarity with the drainage patterns is essential for the treatment strategies. Transvenous embolization may be the first choice for the treatment of cavernous sinus DAVFs.