A Rare Case of a Spontaneous Thoracic Epidural Hematoma in a Young Male Weightlifter

Spontaneous spinal epidural hematoma (SSEH) is a rare condition where blood accumulates in the space around the spinal cord, leading to compression and potential neurological issues. This usually happens without a clear cause like trauma. This case involves a young, healthy man who developed sudden paralysis in his legs while weightlifting. Doctors found a blood clot pressing on his spinal cord in his upper back. He had surgery and rehabilitation, which helped him regain some movement and independence. The case highlights the importance of quickly recognizing and treating SSEH to prevent permanent damage. Even without typical risk factors, the physical strain of weightlifting may have contributed to the condition.

• 1
  The patient, a 34-year-old male, experienced sudden bilateral lower extremity paralysis while bench pressing.
• 2
  MRI revealed a 3.0 cm extradural mass in the thoracic spine (T2) causing spinal cord compression.
• 3
  Following hemilaminectomy and rehabilitation, the patient improved from complete impairment (AIS-A) to incomplete impairment (AIS-C).