Markedly dilated cervical epidural veins and right upper extremity wea
kness developed in a 43-year-old man 4 months after contralateral cran
iectomy for head trauma. After cranioplasty, his symptoms improved mar
kedly and the size of the veins returned to normal. These findings sug
gest that enlarged cervical epidural veins may occur without an underl
ying vascular lesion and that upper extremity weakness may occasionall
y be attributable to spinal cord venous stasis.