Spontaneous spinal epidural haematoma (SSEH) is uncommon! but central
gadolinium (Gd) enhancement of the haematoma is even rarer. To our kno
wledge, only one case has been reported, but no explanation was given
concerning the mechanism of this enhancement. We present a case of SSE
H with unusual central Gd enhancement which we believe is due to oozin
g from the injured posterior internal venous plexuses. Therefore, alth
ough rare, central Gd enhancement of an epidural mass should not rule
out the possibility of a haematoma.