“…It also remained controversial whether or not spinal cord infarctions (SCInf) triggered by a slight trauma or an effort should be considered SCIWORA-type cases or not. With respect to the spinal damage mechanism, both entities show different degrees of spinal cord ischaemia, but while in SCIWORA-type lesions it is secondary to spinal cord distraction [12], in SCInf it is often due to vasospasm or embolic event of the anterior spinal artery [32,33]. As for the clinical presentation, SCInf is characterized by the sudden onset of pain and progressive neurological deterioration over the first 24 hours [33], while deferred neurological symptoms in SCIWORA, usually paralysis or paresis, appears with a latency of between 30 minutes and several days, preceded at the time of acute SCI by weakness or Lhermitte's sign [12].…”