Spontaneous epidural spinal hematoma is a relative condition which suddenly develops symptoms of spinal cord compression and needs appropriate surgical treatment immediately. We report one case of acute spinal epidural hematoma with spontaneous resolution.
A 58-year-old woman experienced suddan on backpain and gait disturbance from muscle weakness. She had history of hypertention therapy. On admission, neurological examination showed paraplegia below T5. MRI showed mass lesion from C2 to C3, and CT after myerography revealed hematoma compressing her spinal cord. She was treated non-operatively. Her paraplegia recovered after 21 hours and complete recovery was more or less achieved 7 days after the onset. There was no recurrence of paraplegia. But MRI shows hematoma which is low-intensity on T1-weighted image and high-intensity on T2-weighted image exists 4 months after onset.
In the case of acute spontaneous spinal epidural hematoma in which neurological deterioration is followed by early and sustained recovery, non-operative therapy may be considers.