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Isolated ischaemia of the spinal cord due to bilateral vertebral artery dissection
  1. P GARNIER,
  2. D MICHEL,
  3. R PEYRON,
  4. O BEAUCHET
  1. Department of Neurology
  2. Department of Neuroradiology, University Hospital Saint-Etienne, 42055 Saint -Etienne, France
  1. Dr D Michel, Service de Neurologie, Hôpital de Bellevue, 42055 Saint-Etienne, Cedex 2, France.
  1. F LE BRAS,
  2. F G BARRAL
  1. Department of Neurology
  2. Department of Neuroradiology, University Hospital Saint-Etienne, 42055 Saint -Etienne, France
  1. Dr D Michel, Service de Neurologie, Hôpital de Bellevue, 42055 Saint-Etienne, Cedex 2, France.

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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 …

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