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A 30-year-old woman presented with progressive paraparesis and urinary incontinence for 1 month. Physical examination revealed weakness at the plantar and dorsal flexors of the ankle and toes. Routine blood tests were normal. MRI showed spinal cord compression. The imaging sequences also showed an intraspinal paramedullary partially thrombosed aneurysm, compressing the spinal cord at T12 level, and several flow voids superior and inferior to the aneursym which indicated a spinal arteriovenous malformation (figure 1). Contrast-enhanced MRI angiography revealed a giant aneurysm originating from the anterior spinal artery and spinal arteriovenous malformation (figure 2). These …
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; not externally peer reviewed.