Abstract
A case of spontaneous spinal epidural hematoma (SSEH) in the thoracic spine (T10-12) is reported. This is a rare cause of neurological deficit (represents 0,3-0,9% of the lesions that occupy epidural space in vertebral canal) requiring immediate diagnosis and treatment. Patients with SSEH typically present with acute onset of severe back pain and signs of neurological deficit. We report the case of a woman admitted to the emergency room with abdominal pain (radiating radicular pain) with signs and symptoms of spinal cord compression. A magnetic resonance imaging (MRI) of the thoracic spine showed expansive extramedullary formation located at T10-T12 level which pressed and displaced the spinal cord anterolaterally to the right. The patient underwent surgery on an emergency basis, and permanent neurological deficit was avoided.
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