Outright resection of a DVA may result in catastrophic compromise of venous drainage. As such, the decision to perform extensive surgical resection on our case was only made after catheter angiography demonstrated normal brain parenchyma did not drain into the DVA.  DVAs also occur with other vascular malformations such as cavernomas but the association between DVAs and intracranial tumors is much less described. Though theories on developmental insults occurring in-utero and genetic predisposition have been put forward, the link between the pathophysiologic processes resulting in both a vascular malformation and malignant tumor remains uncertain. The case report highlights the importance of meticulous pre-operative vascular imaging and sheds light on the first reported case of a DVA inside an intracranial neoplasm.