Spinal intradural arteriovenous fistula is a rare type of spinal vascu
lar malformation. It is usually fed by the anterior spinal artery and
causes episodic myelopathy in young adults. We present a pediatric pat
ient with such a vascular malformation which was fed directly by a med
ullary artery. The clinical course, complete radiological study and th
e excellent outcome will be described in detail. This rare subtype of
spinal vascular malformation will be discussed.