A sign of spinal cord stroke. Vertebral body ischemia

Spine cord infarction is a rare neurological disease. The MRI can show T2 hyperintense signals, and these lesions can be associated with a vertebral body lesion, that supports the ischemic etiology. We present a 54 year-old-woman with an acute spinal cord syndrome, with a final diagnosis of spinal cord infarction. The initial MRI showed no abnormalities, but a second MRI showed increased signal intensity in T2 sequences and DWI, with a decreased in ADC maps, all compatible with an ischemic lesion. Moreover, the MRI revealed a T2 hyperintense signal in adjacent vertebral body, compatible with ischemic nature. Spine cord MRI is an important complementary exploration in the diagnostic of myelitis syndrome. Other sequences, such as diffusion, should be included, as well as consider the coexistence of a lesion in the adjacent vertebral body, which can support the ischemic etiology of the symptoms.