Abstract
The article describes the case of a 70-year-old woman who developed a spontaneous spinal epidural hematoma while on warfarin therapy. She presented more than 24 hours after the onset of back pain and paraplegia. The lesion was diagnosed by magnetic resonance imaging and urgent decompression surgery was performed. Despite appropriate rehabilitation, there was no neurological improvement in the first 14 months after the operation. The article discusses clinical presentation, diagnosis, treatment and factors that affect outcome in cases of spontaneous spinal epidural hematoma.