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Anterior spinal artery (ASA) syndrome is a rare and devastating neurological syndrome which can be recognized clinically. In this report, we describe the story of an unfortunate young girl who after having a friendly hassle with her peer, developed neck pain and over the next 4-6 hours became completely quadriplegic. Initially negative neuro-imaging led to the erroneous diagnosis of dissociative disorder. After the diagnosis was made clinically, confirmation was availed by spinal angiography. Anti-platelets, steroids and low molecular weight heparin were used along with physiotherapy. During the course of stay in hospital (10 days), she has shown a modest improvement in power and sensations. The case is presented for its rarity and the diagnostic challenges posed.

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