Anterior spinal cord syndrome is caused by the damage or obstruction of anterior spinal artery, which provides the major blood supply to the anterior two‐thirds of the spinal cord.2 This syndrome is rare, which accounts for only 8% of all myelopathies, and is characterized by paralysis of the extremities, dissociated sensory loss, bowel and bladder dysfunction, and acute pain located at the level of the spinal cord lesion.2 The etiology is varied and includes infarction, vasculitis, surgery, aortic dissection, and acute trauma, while it remains unclear in the 20%‐30% of the patients.3 Typical findings on MRI are hyperintense lesions on axial T2WI in the anterior horns demonstrating the “owl's eye” configuration.2 This finding on MRI is also rare, and only a few cases have been described in the literature. Our case is unique because the diagnosis of the rare disease was successfully made on the basis of clinical and imaging findings. Clinical diagnosis of anterior spinal cord syndrome is difficult to establish; however, it may be determined by careful clinical examination supported by MRI findings.

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If you are accompanied by your partner or spouse, they are allowed and authorized to drive provided they meet the required age and possess a valid driving license as required by the renter. Your domestic partner or spouse is allowed as an additional driver on a car rented and secured with a form of payment like a debit card. If you need an additional driver you must present them during rental time and they must meet the requirements of age and have a valid driver’s license. The additional driver who is authorized attracts a charge around $10 per day on the rental cost.

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Correspondence, Ko Harada, Department of Gastroenterology, National Hospital Organization, Fukuyama Medical Center, Fukuyama, Hiroshima, Japan. Email: me422084@s.okayama-u.ac.jp

There are several options of fueling a rental car at Enterprise car rentals at Toronto Pearson International Airport according to your needs and preferences. You can choose to pay for the fuel already in the gas tank at the rental time. This would then prompt you to return the car with an empty tank of gas. You can also choose to pay for the gas used but not replaced at the time of return. You also choose to use the fuel already in the tank and to return car with the same amount of fuel you left with.

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You are required to be 21 years or older. You must possess a valid driver’s license together with a credit or debit card which have your name and image on them. If you are a youth of between the ages of 21 and 24 you will be surcharged around $20 per day. You are also required to have some form of verification for the insurance at the time of renting especially for the luxury Sedans and SUVs, Limo vans and the Corvette. Payment policies are also required at rental time.

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6301 Silver Dart Dr is the closest Enterprise Rent-A-Car rental location to Toronto Pearson Intl Airport. The telephone number for this location is +1 833 619 3659.

Magnetic resonance imaging revealing abnormally high signal intensity in the thoracic cord, extending from T5 to T10 on a sagittal T2‐weighted image (Figure 1A). An axial T2‐weighted image showing “owl's eye sign” involving central‐anterior cord (Figure 1B), which was consistent with anterior spinal cord syndrome.

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(A) Magnetic resonance imaging revealing abnormally high signal intensity in the thoracic cord, extending from T5 to T10 on a sagittal T2‐weighted image. (B) An axial T2‐weighted image showing “owl's eye sign” involving central‐anterior cord

Full-size (Class Full-size SUV or similar) is the most frequently booked rental car type from Enterprise Rent-A-Car at Toronto Pearson Intl Airport.

A 68‐year‐old Japanese woman who presented with abdominal sensory loss was admitted to our hospital. Three days prior to admission, the patient experienced sudden onset of right lower chest pain and weakness in both legs, along with bladder and rectal disturbances. Although touch and proprioception were intact, physical examination revealed impaired sensitivity to pinpricks and temperature of her abdomen and thighs. On magnetic resonance imaging (MRI), a sagittal T2‐weighted image (T2WI) indicated abnormally high signal intensity in the thoracic cord, extending from T5 to T10 and affecting the anterior two‐thirds of the cord (Figure 1A; arrows). Further, an axial T2WI revealed the classical “owl's eye sign” involving central‐anterior cord substance (Figure 1B; arrow).1 The patient's clinical symptoms and imaging results were consistent with those of anterior spinal cord syndrome. Although the etiology of the syndrome was undetermined, anterior spinal artery infarction was suspected on the basis of her clinical characteristics, such as the sudden onset of symptoms.

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Anyone who books an Enterprise Rent-A-Car at Toronto Pearson Intl Airport (YYZ) without prepaying for it will be able to cancel their rental car reservation without being subjected to any extra fees. If, however, you prepay for a rental car through Enterprise and have to cancel, you might have to pay a processing fee, especially if you wait until the last minute to do it.

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If you'll be flying into Toronto, booking Enterprise Rent-A-Car car rentals at Toronto Pearson Intl Airport (YYZ) and picking them up there might make the most sense to you. But Toronto is also home to half a dozen other Enterprise Rent-A-Car locations that you can use if you would prefer to pick up a rental car somewhere else. They're situated at 163 Carlingview Dr, 1475 Aerowood Dr, 395 Rexdale Blvd, 2074 Steeles Ave, East Unit #18, 2610 Weston Rd, and 5553 Dundas St W.

Harada K, Chiko Y, Toyokawa T. Anterior spinal cord syndrome—“owl's eye sign”. J Gen Fam Med. 2018;19:63–64. https://doi.org/10.1002/jgf2.156

If you plan to rent cars from Enterprise regularly, it would be worth looking into signing up for the Enterprise Plus customer loyalty program. As a member of this program, you'll be eligible to receive points each time you rent a vehicle through Enterprise. You can use these points to get discounts on rental cars and the accessories that can come with them.