SPINAL ARTERIOVENOUS MALFORMATION PRESENTING AS MENINGITIS

An 8-month-old boy presented with a two-day history of lethargy. Menin gitis was suspected, and cerebrospinal fluid examination demonstrated pleocytosis and elevated protein. After initial improvement with antib iotic and steroid therapy, progressive lower extremity weakness develo ped. and a midthoracic spinal cord arteriovenous malformation (AVM) wa s diagnosed. These lesions present rarely in infancy, the classificati on and pathophysiology of spinal cord AVMs are reviewed.