Spinal arteriovenous malformations are uncommon lesions that present with a constellation of nonspecific symptoms eluding most clinicians. They comprise 3%–16% of all compressive spinal cord lesions and are attributed to 30% of idiopathic myelopathies. They are most often diagnosed on imaging by a neuroradiologist. They can present with symptoms of myelopathy and radiculopathy mimicking a plethora of pathologies. We report the case of a 79-year-old female who presented with back pain and a left foot drop. MRI suggested edema in the conus medullaris and a spinal angiogram revealed serpiginous enhancement from T11-L1 consistent with a type I AVM (Dural AV fistula). She eventually underwent successful embolization after a super selective WADA test with complete occlusion of the Spinal AV fistula.
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