A Rare Case of Spinalduralarterio-Venous Fistula (SDAVF)

The authors report a rare case of spinal duralarterio-venous fistula (SDAVF), supplied by radicular artery, in a young female. SDAVF usually occurs(at 5-10/million) in a middle aged(avg 55-60 years) males. The condition has never been reported under the age of 20 years. A 15-year-old female presented with progressive subjective ascending weakness of lower limbs associated with tingling numbness since 6 months. Spinal magnetic resonance imaging suggested a possible SDAVF confirmed on Spinal MRAngiography and CT angiography. The patient was advised Embolisation but subsequently treated conservatively on request with expectant management and followed over a period of 1 year. At present, patient has subjective improvement of symptoms with no other complaints.