Abstract
Spontaneous acute spinal epidural hematoma is uncommon. The clinical characteristic symptom consists of abrupt spinal paralysis, and an early diagnosis and immediate decompressive surgery are imperative to obtain a better neurological outcome. An 82-year woman developed severe back pain followed by progressive weakness in her legs. MRI showed a thoracic epidur al hematoma.because of her rapid improvement, conservative observation was performed. At 6days after the onset, her symptoms recovered completely. In this paper, we report this interesting case and review cases of acute spinal epidural hematoma previously reported in the literature.