Remote thoracic spinal cord hemorrhage caused by lumbar epidural arteriovenous fistula with perimedullary venous drainage

•A hemorrhagic presentation of spinal epidural arteriovenous fistula (SEDAVF) is rare and an intramedullary hemorrhagic presentation has been reported in only two cases.•We report a case of lumbar SEDAVF presenting with remote hemorrhage in the posterior column of the thoracic spinal cord.•Unlike the good prognosis after treatment for patients with SEDAVF, our patient did not achieve independence because of residual loss of proprioception and vibration sense which were sequelae of remote spinal cord hemorrhage.