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Akdeniz University, School of Medicine, Department of Neurosurgery, Antalya, Turkey DOI : 10.5137/1019-5149.JTN.1747-09.2 Non-traumatic multiple saccular aneurysms of the middle meningeal artery are extremely rare lesions. In our case the patient was a 51-year-old woman admitted with complaints of progressive headache. Magnetic resonance imaging showed a dilatation of the vein of galen malformation. Cerebral angiography revealed multiple saccular aneurysms of the middle meningeal artery and fistulous type of galenic arteriovenous malformation. Only one case of non-traumatic multiple middle meningeal artery aneurysms has been reported until now and this case of multiple multiple middle meningeal artery aneurysms associated with the fistulous type of galenic arteriovenous malformation is unique. Keywords : Aneurysm, Middle meningeal artery, Arteriovenous malformation