Superior petrosal sinus dural arteriovenous fistulas (SPS-DAVFs) are a common subtype of tentorial DAVFs that often require microsurgical treatment. In our experience, we have noted a rare condition involving the presence of a coexisting normal superior petrosal vein (SPV) during surgery for SPS-DAVFs; this condition has not been reported in the literature. The identification and preservation of coexisting normal veins are crucial to prevent venous complications.We reviewed the data of 12 patients with SPS-DAVFs who underwent microsurgical treatment. Intraoperative indocyanine green video angiography (ICG-VA) was used to confirm the location of the fistula and identify the normal SPV. Postoperative radiological examination was performed, and the clinical outcome was evaluated with the modified Rankin Scale (mRS).A coexisting normal functional SPV was found in 6 cases. Analysis of the tributaries of SPV showed the vein of the cerebellopontine fissure was the most frequent arterialized drainage vein (66.7%), while the pontotrigeminal vein was the most frequent normal drainage vein (45.5%). The DAVFs were easily identified and disrupted using intraoperative ICG-VA. The normal SPV was also successfully preserved. All 6 patients experienced good clinical and radiological outcomes.An SPS-DAVF can coexist with a normal functional SPV, which should be preserved. The ICG-VA technique is an efficient way to identify the normal SPV.