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3D MRA of the neck (2a) shows dissection of the right vertebral artery just distal to its origin (yellow arrows). Sagittal and axial T2WI (2b, 2c) and T1 post contrast (2d, 2e) respectively, demonstrate intermedullary T2 bright signal intensity seen at the anterior aspect of the spinal cord involving the central grey matter predominantly ventral horns between C2-C4 levels (yellow arrows) and evidence of postcontrast enhancement (red arrows). Features consistent with subacute cord infarct.

3D MRA of the neck (2a) shows dissection of the right vertebral artery just distal to its origin (yellow arrows). Sagittal and axial T2WI (2b, 2c) and T1 post contrast (2d, 2e) respectively, demonstrate intermedullary T2 bright signal intensity seen at the anterior aspect of the spinal cord involving the central grey matter predominantly ventral horns between C2-C4 levels (yellow arrows) and evidence of postcontrast enhancement (red arrows). Features consistent with subacute cord infarct.

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Introduction: Acute spinal cord infarction represents 1% of all strokes. The neurological presentation of spinal cord infarction is defined by vas-cular territory i.e. anterior or posterior spinal arteries. A broad spectrum of diseases can cause spinal cord infarction, most common cause is surgical repair or diseases of the thoracoabdominal aorta....