• Logo
  • SBMUJournals

Spontaneous Spinal Epidural Hematoma; a Case Report

Maryam Motamedi, Alireza Baratloo, Alireza Majidi, Farhad Rahmati, Ali Shahrami



Spontaneous spinal epidural hematoma (SSHE) is a rare entity can have several reasons. Its prevalence in population is 0.1 per 100,000 with the male to female ratio of 1/4:1. For the first time Jackson in 1869 reported a case of SSHE and after that it was declared as several hundred cases in literatures. Here, a case of SSHE was reported in a 52 year-old male referred to emergency department following severe low back pain.


Hematoma, epidural, spinal; back pain; case reports


Blount J, Doughty K, Tubbs RS, et al. In utero spontaneous cervical thoracic epidural hematoma imitating spinal cord birth injury. Pediatr Neurosurg. 2004;40(1):23-7.

Deyo RA, Mirza SK, Martin BI. Back pain prevalence and visit rates: estimates from US national surveys, 2002. Spine. 2006;31(23):2724-7.

Ghafarzad A, Tagizadieh A, Moharamzadeh P, Majidi G. Thoracic Pneumorrhachis in Patient with Lumbar Fractures; a Case Report. Emergency. 2014;2(2):96-7.

Hosseini M, Karami Z, Janzadenh A, et al. The Effect of Intrathecal Administration of Muscimol on Modulation of Neuropathic Pain Symptoms Resulting from Spinal Cord Injury; a Experimental Study. Emergency. 2014;2(4):11-8.

Binder DK, Sonne DC, Lawton MT. Spinal epidural hematoma. Neurosurg Q. 2004;14(1):51-9.

Miyagi Y, Miyazono M, Kamikaseda K. Spinal epidural vascular malformation presenting in association with a spontaneously resolved acute epidural hematoma: Case report. J Neurosurg. 1998;88(5):909-11.

Adam M, Leblebici B, Akman MN. Spontaneous spinal epidural hematoma related to warfarin therapy: A case report. J Back Musculoskelet Rehabil. 2007;20(1):11-4.

Marx JA, Hockberger RS, Walls RM, Adams GA. Rosen's emergency medicine: concepts and clinical practice. 6th ed. Philadelphia: Mosby Incorporated; 2010. p. 605-675.

Matsumura A, Namikawa T, Hashimoto R, et al. Clinical management for spontaneous spinal epidural hematoma: diagnosis and treatment. Spine J. 2008;8(3):534-7.

Riaz S, Jiang H, Fox R, Lavoie M, Mahood JK. Spontaneous spinal epidural hematoma causing Brown-Sequard syndrome: case report and review of the literature. J Emerg Med. 2007;33(3):241-4.

Liu Z, Jiao Q, Xu J, Wang X, Li S, You C. Spontaneous spinal epidural hematoma: analysis of 23 cases. Surg Neurol. 2008;69(3):253-60.

Tailor J, Dunn IF, Smith E. Conservative treatment of spontaneous spinal epidural hematoma associated with oral anticoagulant therapy in a child. Childs Nerv Syst. 2006;22(12):1643-5.

Groen R. Non-operative treatment of spontaneous spinal epidural hematomas: a review of the literature and a comparison with operative cases. Acta Neurochir (Wien). 2004;146(2):103-10.

DOI: https://doi.org/10.22037/emergency.v2i4.6886


  • There are currently no refbacks.