We present MRI findings in three patients with acute spontaneous subdural h
aematomas of the spine. Acute haematomas (1-3 days) were isointense or gave
slightly high signal on T1- and heterogeneous signal on T2-weighted images
. MRI precisely defined the level and extent of the haematoma preoperativel
y. The MRI was prospectively correctly interpreted as acute subdural haemat
omas in all patients. As a specific, noninvasive modality, MRI is the prefe
rred imaging technique in this rare clinical entity.