Abstract
We report seven cases of spontaneous spinal epidural hematoma (SSEH). The patients comprised 2 males and 5 females with an age range of 4 to 88 years (average, 63 years). The SSEH was located in the cervical and thoracic region in 4 and 3 cases, respectively. Three patients recovered without surgical intervention, but three required posterior decompression. One patient who suffered complete paralysis was treated conservatively because of liver cirrhosis and pulmonary hypertension, and there was no neurological recovery. Our experience suggests that thoracic hematoma likely has a poor prognosis.