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Cerebral small vessel disease (SVD) is extremely common and can mimic severe injury of lower motor neurons.Newer imaging techniques have significantly helped in the diagnosis of SVD.A combination of bilateral motor and/or sensory deficits located only in the lower limbs should raise the possibility of the bilateral deep lesions that can be observed in cerebral SVD.

Acute Paraplegia with Cognitive Alterations After Bilateral Infarcts in Cerebral Small Vessel Disease