Spontaneous cervical epidural hematoma presenting as quadriparesis: A case report in compliance with the SCARE guidelines

Spinal epidural hematoma (SEH) is a rare disease. Several pathologies have been described as a cause, including trauma, arteriovenous malformations, coagulopathies, and iatrogenic causes. Spontaneous spinal epidural hematomas (SSEH) are blood in the spinal extradural space without a known cause. The incidence of SSEH has been estimated as 0.1 per 100,000 per year. Herein, we report a case of spontaneous spinal epidural hematoma in the cervical spine. We report a 57-year-old male patient who presented with sudden axial neck pain associated with upper and lower extremities weakness. Symptoms were precipitated by coughing. MRI of the cervical spine revealed an extradural lesion compressing the dorsal aspect of the spinal cord from C4 – C7. He underwent urgent decompressive laminectomy and evacuation of the hematoma. •We report a rare case of spontaneous cervical extradural hematoma.•Patient presented with sudden neck pain and quadriparesis.•MRI findings were not easy to interpret and to give a final diagnosis.•Other causes were excluded.•Urgent decompression was done. Patient improved postoperatively.