Clinical Brief Spinal Arteriovenous Malformation S. Balasubramanian, So. Shivbalan and Sandeep D. Jaipurkar Kanchi Kamakoti Childs Trust Hospital Nungambakkam, Chennai, India Abstract, An 11-year-old girl presented with acute onset of paraplegia with bowel and bladder incontinence. She had spinal tenderness and a sensory level at mid thoracic region. MRI spine revealed an intradural extramedullary arterio-venous malformation with hemorrhage into the intramedullary region. Hence a diagnosis of spinal arterio-venous malformation was entertained. [Indian a Pediatr 2004; 71 (12) : 1131-1132] E-mail: shivbalanl@rediffmail.com Key words : Arterio-venous malformation; Spine; A VM An 11-year-old girl presented with sudden onset of paraplegia with bowel and bladder incontinence and severe back pain. On examination she had normal sensorium, hypotonia, grade zero power and absent deep tendon reflexes in both the lower limbs. She had sensory loss up to the mid thoracic region with diffuse tenderness over thoracic spine. MRI scan of the cervical and dorsal spine were done with T1 and T2 weighted images taken in axial, sagittal and coronal planes. In T2 weighted coronal image (patient was positioned in headfirst position, TR 5500, TE 104, NEX 4, FOV 28, matrix 448 x 24, EC 1/1 31.2 kHz, thickness 4mm without gap)', an Fig. 1. Intramedullary hematoma with perilesional odema Correspondenceand Reprintrequests : Dr. So.Shivbalan,F 49, First main road, Annanagar East, Chennai-600 102. Tamil Nadu, India. Fig. 2. A tortuous spring like vessel was seen along the posterior aspect of the cord Indian Journal of Pediatrics, Volume 71--December, 2004 1131