A report of an asymptomatic cervical dural arteriovenous fistula in a patient with Lhermitte-Duclos disease was published in 2006. Almubarak et al. from Riyadh, presented in 2018 the second case of Lhermitte-Duclos disease associated with an asymptomatic spinal cervical AVF in a 17-year-old young woman with literature review of central nervous system vascular lesions in Lhermitte-Duclos disease 1).1) Almubarak AO, Haq AU, Alzahrani I, Shail EA. Lhermitte-Duclos Disease with Cervical Arteriovenous Fistula. J Neurol Surg A Cent Eur Neurosurg. 2018 Dec 5. doi: 10.1055/s-0038-1670636. [Epub ahead of print] PubMed PMID: 30517962.