DOI: 10.36347/sjmcr.2018.v06i02.007

Pages: 87-90

Spontaneous spinal epidural hematoma (SSEH) is a rare neurologic emergency of the spinal cord, which is caused by a hemorrhage in the epidural space. Patients usually experience sudden severe neck or back pain accompanied by muscle weakness and bladder dysfunction. The mean age of SSEH patients is about 30 in Chinese population. Thus, early recognize of these patients and urgent surgical decompression is critical for a satisfied outcome. The risk factors for poor clinical outcome included a short progression interval, no symptom relief after admission, hypesthesia, complete spinal cord injury, and hematoma below the T4 level.