SPONTANEOUS SPINAL EPIDURAL hematoma is a rare condition that usually
requires surgical evacuation of the hematoma. We report a case of spon
taneous spinal epidural hematoma that was probably associated with asp
irin intake. The initial clinical signs and symptoms included sharp, l
eft-sided neck pain and weakness of the left arm. The initial magnetic
resonance image showed a spinal epidural hematoma extending from C2 t
o C6, with compression of the myelon. This case is remarkable for dram
atic clinical improvement within 12 hours and the magnetic resonance i
maging documentation of complete resolution within 3 days. For each pa
tient with a stable or improving neurological status, conservative man
agement monitored by magnetic resonance imaging might be the treatment
of choice.