Isolated ischaemia of the spinal cord due to bilateral vertebral artery dissection

Clinical features in vertebral artery dissection are rarely associated with an ischaemic lesion of the spinal cord.1The few cases related and studied with MRI strictly involve the cervical cord.2-4 We add another patient with spontaneous bilateral vertebral artery dissection in whom the particularity was an isolated extensive ischaemia of the spinal cord from C4 to T5 vertebral levels. A previously healthy 45 year old woman had paresthesiae of the right ankle lasting a few days. Ten days later, she had a right sided scapulothoracic pain and suddenly developed a predominantly …