Spinal cord arteriovenous malformations in two patients with hereditary hemorrhagic telangiectasia

J L Mandzia1, K G terBrugge, M E Faughnan

  • 1Department of Medicine, St. Michael's Hospital, Toronto, Ontario, Canada.

We report two cases, in first cousins, of spinal arteriovenous malformations (AVMs) of the perimedullary fistula type and hereditary hemorrhagic telangiectasia (HHT). Spinal AVMs are a rare clinical presentation of HHT, but can be the first manifestation in a child with this disorder. The importance of considering a coexisting disorder of vascular dysplasia, such as HHT, when a child presents with a spinal AVM is discussed.