Iranian Red Crescent medical journal
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Iran Red Crescent Med J · Jan 2012
Spontaneous resolution of paraparesis because of acute spontaneous thoracolumbar epidural hematoma.
Symptomatic spontaneous spinal epidural hematoma(SSEH) is an uncommon cause of cord compression that commonly is considered as an indication for emergent surgical decompression. We aimed to investigate a patient with a SSEH that completely resolved clinically and radiographically, without surgical treatment. ⋯ Decompression was recommended but he refused surgery and was managed conservatively. One month later, weakness totally recovered and hematoma was absent on MRI.