From a group of 10 patients with arterio-venous meningeal fistulas of the dura-mater of the spinal cord, who where treated by embolization, the authors discuss and compare the results of this procedure to surgical management. This results, sometimes spectacular, are similar to surgical ones and sometimes better, essentially upon paresthesias and urinary troubles. They insist upon the interest of this management which appears often realizable in the same procedure than diagnostic angiography.