{"id":"60227001-477d-4f21-a75f-467bdd5c4443","slug":"spontaneous-idiopathic-cervical-spinal-epidural-hematoma-mimicking-tumor-a-case-report","title":"Spontaneous idiopathic cervical spinal epidural hematoma mimicking tumor: A case report","authors":["Ahmed Hafez Mousa","Badr E. Hafiz","Mohammed Hani Aref"],"abstract":"Background: Spontaneous spinal epidural hematomas (SSEHs) are a rare. Cervical SSEHs, though less common than thoracic or lumbar variants, pose a heightened risk of morbidity due to proximity to the brainstem and spinal cord making timely diagnosis treatment even more critical. Case Description: A 50-year-old female presented with chronic neck pain for 1 week presented with the rapid onset of a progressive quadriparesis. The cervical magnetic resonance imaging revealed a posterior SSEH extending from C4 to T2, with maximal cord compression at C6–C7; the radiological differential diagnosis favored epidural hematoma versus tumor. She underwent an urgent decompressive laminectomy for evacuation of hematoma; pathology revealed no neoplasia or vascular malformation. Postoperatively, she recovered marked neurological motor function. Conclusion: Cervical SSEHs are rare and require immediate magnetic resonance diagnosis and surgical decompression to optimize neurological recovery.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/60227001-477d-4f21-a75f-467bdd5c4443/featured/hero-cropped-1781558308959.jpg","publishDate":"2025-10-03T00:00:00.000Z","doi":"10.25259/SNI_918_2025","categories":["Spine","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2025/10/13986/SNI-16-420.pdf"}