{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T22:45:21Z","timestamp":1775256321914,"version":"3.50.1"},"reference-count":22,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>First characterized in the 19<jats:sup>th<\/jats:sup> century, spontaneous spinal epidural hematoma (SSEH) is known as the idiopathic accumulation of blood within the spinal canal\u2019s epidural space, causing symptoms varying from general back pain to complete paraplegia. With varying etiologies, a broad spectrum of severity and symptoms, a time-dependent resolution period, and no documented diagnosis or treatment algorithm, SSEH is a commonly misunderstood condition associated with increasing morbidity. While SSEH can occur at any vertebrae level, 16% of all SSEH cases occur in the cervical spine, making it a region of interest to clinicians.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>Herein, the authors present two case examples describing the clinical presentation of SSEH, while also reviewing the literature to provide a comprehensive overview of its presentation, pathology, and treatment. The first case is a patient with nontraumatic sudden onset neck pain with rapidly progressing weakness. The second case is a patient with painless weakness that developed while taking 325 mg of aspirin daily.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>Clinicians should keep SSEH in their differential diagnosis when seeing patients with nontraumatic sources of weakness in their extremities. The appropriate steps should be followed to diagnose and treat this condition with magnetic resonance imaging and surgical decompression if there are progressive neurological deficits. There is a continued need for more extensive database-driven studies to understand better SSEHs clinical presentation, etiology, and ultimate treatment.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_15_2021","type":"journal-article","created":{"date-parts":[[2021,3,1]],"date-time":"2021-03-01T18:39:46Z","timestamp":1614623986000},"page":"79","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Spontaneous cervical epidural hematoma: Insight into this occurrence with case examples"],"prefix":"10.25259","volume":"12","author":[{"given":"Brian","family":"Fiani","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Desert Regional Medical Center, Palm Springs, California, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryan","family":"Jarrah","sequence":"additional","affiliation":[{"name":"College of Literature, Arts, and Sciences, University of Michigan, Flint, Michigan, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas J.","family":"Fiani","sequence":"additional","affiliation":[{"name":"Medical School, University of Medicine and Health Sciences, New York, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juliana","family":"Runnels","sequence":"additional","affiliation":[{"name":"School of Medicine, University of New Mexico, Albuquerque, New Mexico, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2021,3,2]]},"reference":[{"key":"10.25259\/SNI_15_2021\/ref-1","doi-asserted-by":"crossref","first-page":"494","DOI":"10.5435\/00124635-201008000-00006","article-title":"Spinal epidural hematoma","volume":"18","author":"Al-Mutair","year":"2010","journal-title":"J Am Acad Orthop Surg"},{"key":"10.25259\/SNI_15_2021\/ref-2","first-page":"5430708","article-title":"Idiopathic thoracic spontaneous spinal epidural 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