A case of concurrent intracranial and spinal cord arteriovenous malfor
mations (AVMs) is described. A 3-year-old girl presented with parapare
sis, bladder-bowel disturbances and bilateral dysesthesia of the lower
extremities due to a spinal hematoma, resulting from a spinal AVM. Ma
gnetic resonance imaging revealed a hematoma and abnormal vessels in t
he spinal cord. The AVM was embolized with polyvinyl alcohol particles
and silk sutures and was surgically removed. Later, this girl present
ed with disturbance of consciousness due to an intraventricular hemorr
hage, resulting from a cerebral AVM. The cerebral AVM was surgically r
esected. The coexistence of bleeding cerebral and spinal AVMs is very
rare.