Multiple sclerosis in Colombia has lower prevalence than neurovascular disorders in general. 2,3However, to consider a myelovascular attack requires clinical expertise that falls short during rural medical training, which takes place during the last year of mentoring before getting a full practitioner's license in Colombia.The sudden onset, the accompanying signs and symptoms including pain, as well as the Beevor's sign, suggested a vascular lesion inside the spinal cord at around T10 which was confirmed by MRI.