Utilization of Heavily T2-Weighted Imaging and Dynamic Contrast-Enhanced 3T Magnetic Resonance Angiography for Diagnosing Spinal Extradural Arteriovenous Fistula: A Case Report

Spinal arteriovenous fistula (SAVF), including spinal dural arteriovenous fistula and spinal extradural arteriovenous fistula (SEAVF), is a rare spinal vascular disorder characterized by abnormal intradural and extradural arteriovenous shunting, often resulting in progressive motor, sensory, and autonomic dysfunction. Due to its nonspecific presentation and overlapping imaging findings with other spinal diseases, SAVF is frequently misdiagnosed, delaying appropriate treatment and increasing the risk of neurological deterioration. Here, we present a case in which heavily T2-weighted imaging and dynamic contrast-enhanced magnetic resonance angiography at 3T were valuable for the diagnosis of SEAVF.