Paralysis of the lower limbs caused by spontaneous spinal epidural hematoma: A case report

Spontaneous spinal epidural hematoma (SSEH) is a rare condition where blood accumulates in the space around the spinal cord without a clear cause like trauma. This can lead to sudden and severe spinal cord injury. This report describes a case of a 76-year-old man who experienced sudden chest and back pain, along with paralysis in his lower limbs. Doctors found a blood clot in his spinal canal using an MRI scan. The patient underwent emergency surgery to remove the blood clot, after which his neurological function improved. Early diagnosis and surgical intervention are crucial for protecting neurological function in SSEH cases.

• 1
  SSEH can present with sudden neck, back, or lumbar pain, often followed by motor and sensory disturbances and urinary dysfunction.
• 2
  MRI is the preferred diagnostic tool for SSEH, allowing accurate determination of the extent, range, and severity of spinal cord compression.
• 3
  Prompt surgical intervention is necessary to alleviate spinal compression once SSEH is diagnosed, with the timing of surgery being crucial for improving prognosis.