A rare case of spinal dural arteriovenous fistula in a 22-year-old farmer.

Spinal Dural Arteriovenous Fistulas (DAVFs) are rare vascular malformations characterized by abnormal connections betweena spinal artery and venous plexus. Though uncommon, DAVFs can be misdiagnosed due to their presentation with nonspecific symptoms, leading to potential treatment delays or incorrect procedures. This case report presents a 22-year-old male farmer admitted with gradual lower limb muscle weakness and urinary retention. Despite no trauma history, his recent exposure to chemicals raised concerns. Neurological examination revealed significant mobility impairment, particularly in the left leg, alongside sensory deficits. MRI findings demonstrated spinal cord oedema and venous dilatation, suggesting DAVF. The patient underwent successful endovascular embolization, with a post-operative course free of complications. This case highlights the challenges in diagnosing DAVF and underscores the importance of timely intervention.