Abstract
Spinal arteriovenous fistula (spinal AVF) malformation is one of the rare spinal vascular diseases. Its presentation could be misleading as the patient presents with spinal cord dysfunction, including motor power loss. Early detection is essential and requires a high suspicion by the providing physician so the patient can be rightfully directed to the proper team with vascular intervention resources. Efficient management leads to promising outcomes with patient recovery. We are presenting a case with progressing motor and sensory neurological deficits that had a vague clinical course. After a prompt diagnosis of spinal AVF, the patient was referred to the neuro-vascular specialist, who performed an embolization of the spinal AVF. The patient had an excellent outcome and was discharged to a rehabilitation facility.