Watershed spinal cord infarction developing after a hypotensive episode secondary to massive rectus sheath hematoma

Highlights • Acute spinal cord infarction is a rare but well-known clinical disease. • The majority of SCI is associated with atherosclerosis and thoracoabdominal surgery. • Generally (in approximately 95%), it occurs in the area supplied by anterior spinal artery. Watershed infarction of the spinal cord is even rarer. • Diffusion-weighted imaging allows the diagnosis to be made reliably and at an early stage.