Abstract

A 21-year-old pregnant woman at 34-weeks’ gestation presented to the emergency room with sudden lower extremity weakness and discovered a devastating diagnosis. A magnetic resonance imaging report described a neoplasm versus spinal arteriovenous malformation (AVM). Diagnostic angiogram indicated an AVM involving thoracic spinal levels 8–12, a rare condition that results in rapidly progressive paraplegia. Undiagnosed congenital vascular malformation developmental defects of the arterial and venous vasculature may become symptomatic due to physiological changes in pregnancy.

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