Background: Spinal arteriovenous malformations (AVMs) are a rare and heterogeneous group of abnormally developed spinal blood vessels associated with an increased risk of haemorrhage and neurological deficits secondary to mass effect and normal spinal blood flow disruption. Anson and Spetzler (1992) ^[1] classified spinal AVM into four categories. Type II AVMs commonly presents in young adults.

Results: Contrast enhanced MRI of thoracic spine with whole spine sagittal screening was performed revealing an intradural-intramedullary AVM (Anson-Spetzler classification Type II) involving thoracic spine with adjacent serpentine vascular channels along anterior and posterior dural spaces. Intra-lesional haemorrhage with surrounding cord edema was also noted.