Abstract
Spontaneous spinal epidural hematoma (SCEH) is a considerbaly rare clinical condition. It may lead to persistent neurological deficits or even death unless recognized and treated early in its course. It usually occurs after trauma but m ay also develop spontaneously. Majority of cases can be diagnosed with a detailed neurological examination and magnetic resonance imaging (MRI). Urgent surgical tehrapy is the preferred mode of trea tment in advanced cases while a conservative approach is s elected for cases with mild neurological deficit. MRI is regarded as the imaging modality of choice fort he diagnosis of SCEH . We report a case of nontrumatic SCEH after oral anticoagulant (OAC) use that presented with sudden - onset paraplegia. We also revi ewed the relevant literature.
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