A Case of Acute Spontaneous Spinal Epidural Hematoma Caused by Repeated Bleeding Thoracic Radiculomeningeal Artery

Spontaneous spinal epidural hematoma (SSEH) presents with back pain followed by myelopathy. Venous plexus disruption is common, and arterial bleeding is extremely rare. Here, we report a case of acute spontaneous spinal epidural hematoma that showed spot sign on computed tomographic angiography and was treated.

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Publication Details

Journal
NMC Case Report Journal
Published
2026-09-16
DOI
https://doi.org/10.2176/jns-nmc.2026-0144
Primary Topic
Spinal Hematomas and Complications
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article
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article

A Case of Acute Spontaneous Spinal Epidural Hematoma Caused by Repeated Bleeding Thoracic Radiculomeningeal Artery

Yukino Irie, Hisaaki Uchikado, Hiroshi Abe, Hiroshi Ohtani et al.
NMC Case Report Journal
Spinal Hematomas and Complications
article

A Case of Acute Spontaneous Spinal Epidural Hematoma Caused by Repeated Bleeding Thoracic Radiculomeningeal Artery

Yukino Irie, Hisaaki Uchikado, Hiroshi Abe, Hiroshi Ohtani, Syuji Hayashi, Tooru INOUE, Fumiaki FUJIWARA
article en

Abstract

Spontaneous spinal epidural hematoma (SSEH) presents with back pain followed by myelopathy. Venous plexus disruption is common, and arterial bleeding is extremely rare. Here, we report a case of acute spontaneous spinal epidural hematoma that showed spot sign on computed tomographic angiography and was treated.

NMC Case Report JournalVol. 13(0)
Fukuoka University Hospital (JP), NeuroSpine Institute (US), Uji Hospital (JP), Fukujuji Hospital (JP)
Zero hunger
Openalex Percentile: Top 8%
Spinal Hematomas and Complications
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A Case of Acute Spontaneous Spinal Epidural Hematoma Caused by Repeated Bleeding Thoracic Radiculomeningeal Artery — Yukino Irie, Hisaaki Uchikado, et al. · NMC Case Report Journal (2026) | TGRS Research Map | TGRS