Rather curiously, among the vascular pathologies affecting the Central Nervous System, very little has been said regarding the spinal cord. On the contrary, much it has been reported from brain. It has been reported that due to the variability of the vascular anatomy of the spinal cord, it is rather difficult to predict the eventual deficit that will occur, following the occlusion of a specific spinal artery. In 2001, even the exact epidemiological prevalence of the spinal cord infarction is far from to be known; probably, it represents less than 1% of all acute strokes. Beginning from data collected over thirty years of activity of our Clinic, we try to categorize etiology, pathophisiology and clinical course of vascular spinal cord disease, with a review on literature of the topic.
