Abstract

AbstractTwo cases of spinal epidural hemorrhage are presented. Both patients recovered almost completely. Spontaneous spinal epidural hemorrhage may present with sudden pain and rapidly progressing paralysis. Delay in diagnosis may result in significant residual disability, and a rapidly progressive neurologic deficit with good clinical localization should be explored promptly. In one case, partial Brown-Sequard syndrome was produced by the extradural hematoma; it was almost completely reversible in six months. Detailed histologic examination of the hematoma and the epidural tissue failed to show any abnormal vasculature in either case.