Endovascular embolisation of a cervical spinal AVF in a patient with NF1

Vascular abnormalities associated with neurofibromatosis type 1 (NF1) are well described. Spinal arterio-venous fistula (AVF) is a rare finding in NF1 and may present with neurological symptoms that require treatment. Management of spinal AVFs can be endovascular or surgical. We present a patient with known NF1 and neurological symptoms due to a spinal AVF demonstrated by imaging, who required a combination of endovascular and surgical management.