A 72-year-old woman under longterm low-dose aspirin therapy was admitt
ed for low back pain with pain and motor loss in the territory of the
femoral nerve, which started after an episode of vomiting. Magnetic re
sonance imaging demonstrated an epidural hematoma extending from T12 t
o L5. The pain and motor loss resolved spontaneously, Epidural hematom
a is a rare lesion but should be looked for in patients with acute spi
nal symptoms precipitated by coughing, vomiting, or defecation, partic
ularly if there is a history of current treatment with anticoagulants
or antiplatelet agents, Surgery is usually required, although some pat
ients recover fully without treatment.