LAUSR

A 12-day-old male patient underwent aortoplasty for aortic arch coarctation with patent ductus arteriosus and ventric-ular septal defect. On the 5 th postoperative day, he presented with acute hypore fl exia, tetraparesis, and urinary retention. On spinal magnetic resonance imaging (MRI), sagittal T2-weighted image (T2WI) indicated abnormal hyperintensity extending from D1 and D2 to the conus medullaris, affecting the anterior two thirds of the spinal cord ( ► Figure 1A ). Additionally, axial T2WI showed the “ owl ’ s eyes ” sign involv-ing the anterior-central cord ( ► Figures 1B-C ) and sagital T1WI unremarkable ( ► Figure 1D ). Pediatric acute spinal cord infarction is rare, and the “ owl ’ s eyes ” sign on neuroimaging is highly suggestive of vascular etiology. This case is the youngest of the few ever reported in which an “ owl ’ s sign ” could be observed