What about
the spinal cord--isn't it also nourished by vertebral branches?
Vascular disease in the spinal
cord is uncommon. Unlike arteries in the brain, spinal arteries are not particularly
susceptible to atherosclerosis or embolization. However, infarction of the spinal
cord can occur after aortic replacement or when a dissecting aneurysm of the aorta
blocks radicular vessels. Collateral arteries supplying the spinal cord vary in
size, and a catastrophic drop in blood pressure may result in ischemia in vulnerable
segments (those at mid-thoracic levels are especially at risk). This is the spinal
equivalent of a border zone infarct in the cerebral hemispheres.
When the anterior spinal artery is blocked, there is bilateral paralysis
and a deficit in pain sensation below the level of the lesion. However, joint
position and vibratory sensations are spared since the posterior columns and neighboring
white matter are supplied by the smaller posterior spinal arteries.