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Arch Emerg Med. 1993 December; 10(4): 339–342.
PMCID: PMC1286046

Spontaneous spinal epidural haematoma: a cautionary tale.


Less than two hundred cases of spontaneous spinal epidural haematoma (SSEH) have been reported in the literature and theories as to its genesis are diverse. It is a serious condition, especially if there is a delay in diagnosis, as early treatment confers marked prognostic advantage. We present a case report of a 68-year-old male who was diagnosed as having a spinal epidural haematoma, followed by a discussion of the possible aetiology of this condition.

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Selected References

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  • AINSLIE JP. Paraplegia due to spontaneous extradural or subdural haemorrhage. Br J Surg. 1958 Mar 18;45(193):565–567. [PubMed]
  • Cooper DW. Spontaneous spinal epidural hematoma. Case report. J Neurosurg. 1967 Mar;26(3):343–345. [PubMed]
  • CUBE HM. Spinal extradural hemorrhage. J Neurosurg. 1962 Feb;19:171–172. [PubMed]
  • Foo D, Rossier AB. Preoperative neurological status in predicting surgical outcome of spinal epidural hematomas. Surg Neurol. 1981 May;15(5):389–401. [PubMed]
  • Groen RJ, Ponssen H. The spontaneous spinal epidural hematoma. A study of the etiology. J Neurol Sci. 1990 Sep;98(2-3):121–138. [PubMed]
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Articles from Archives of Emergency Medicine are provided here courtesy of BMJ Group