Introduction: 
Subacute combined cord degeneration of the spinal cord is a type of myelopathy that most commonly manifests due to vitamin B12 deficiency. The classical clinical presentation consists triad of symmetrical diminished proprioception, sensory ataxia with pyramidal signs. 5
The commonly reported neuroimaging finding is symmetrical high T2 signal on spinal cord MRI. 1 The presence of High signal DWI with diffusion restriction is reported in one previous case report.2
This paper aims to describe the radiological features on spinal cord DWI in 47 years-old patient presenting with subacute ataxic symptoms diagnosed to have SACD, which can have overlapping features with other myelopathies spinal cord ischemic diseases.