• Ender Ofluoğlu, Ayşegül Ozdemir, Halil Toplamaoğlu, and Erhan Sofuoğlu.
• Bakirkoy Hospital for Psychiatric and Neurological Diseases, Neurosurgery Department, Istanbul, Turkey. enderofluoglu@yahoo.com
• Turk Neurosurg. 2009 Jan 1;19(1):99-102.

ObjectiveSpontaneously occurring epidural hematoma without any identified etiology is a rare phenomenon. These are often neurosurgical emergencies; therefore, prompt diagnosis and treatment are paramount. Because of the rarity of this condition, we illustrated its presentation, evaluation and management in this recent case.CaseA 63-year-old male presented to our emergency room with right-sided hemiparesis and contralateral hypoesthesia, consistent with a C5 Brown-Sequard syndrome. An initial evaluation for cerebral infarction was unremarkable, including a negative brain computerized tomography imaging. Cervical magnetic resonance imaging (MRI) revealed a cervical epidural hematoma. The patient underwent emergent laminectomy for decompression and evacuation of the hematoma within 24 hours of presentation to the emergency room. The patient's symptoms improved remarkably after surgery and a 4th-month follow-up MRI evaluation was normal.ConclusionThis report highlights the various presentations, evaluation, and management options for this rare diagnosis. It emphasizes the necessity of prompt diagnosis for possible emergent intervention.

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