Abstract

Spontaneous spinal epidural hematoma (SSEH) is rare condition and incidence rate is .1 in 1,00,000 population. These are usually seen in the lumbar region in patients above 45 years and dorsal epidural hematomas are more common than ventral hematomas. Patients present with sharp pain in back with or without neurological deficit. We present a case of a 30-year-old female who presented with quadriparesis, bowel and bladder incontinence for 7 days. No history of trauma were present. MRI revealed a posterior epidural hematoma with cord compression and edema. Patient underwent surgery and hematoma was evacuated. Patient had mild residual neurological deficit in the early post op period, which resolved over a period of two 2½ months.

Keywords: Laminectomy, quardriparesis, MRI, cord compression, spontaneous spinal epidural hematoma, pasparesis.