Abstract
The standard treatment for spinal epidural hematoma has been prompt surgical evacuation. Emergency decompression for spinal epidural hematoma was also emphasized in our previous report. We now report four cases with natural resolution and recovery. We conclude that concervative management of spinal epidural hematoma may be apppropriate in instances in which there is minimal neurologic findings or early and sustained neurological recovery confirmed by radiological resolution of the lesion.