Abstract
Acute spontaneous spinal epidural hematoma (ASSEH) is rare. The classical clinical symptom is acute onset of severe back pain, followed by the signs and symptoms of a rapidly evolving spinal cord compression. Early diagnosis is important and immediate treatment results good recovery. We encountered a case of ASSEH. A 49 -year-old man, he felt severe chest and back pain when he had been playing golf. He was transferred to our hospital and his severe chest and back pain was continued. He was in the absence of injury and anti-platelet drugs. At first, these findings suggested acute aortic dissection (AAD) but enhanced computed tomography did not reveal aortic dissection. Finally, we diagnosed ASSEH by magnetic resonance imaging (MRI). We treated him wit conservative therapy because his symptom was mild, and he got good recovery. This case presented a diagnostic challenge because his symptoms were similar to AAD and he did not have traumatic episode. This experience suggests that knowledge regarding ASSEH is important, and a health care personnel should be aware that ASSEH.
