We present what is to our knowledge the first reported case of thoracic disc herniation leading to venous congestive myelopathy (VCM), which was clinically and radiographically suggestive of Foix-Alajouanine syndrome (angiodysgenetic necrotizing myelopathy). In addition, we review current concepts in evaluating the etiology of VCM and discuss indications for surgery.
Keywords: Foix–Alajouanine syndrome; spinal arteriovenous fistula; thoracic disc herniation; venous congestive myelopathy.