Spontaneous spinal epidural hematoma (SSEH) is a relatively rare but potentially disabling disease. We report an unusual case of a patient with SSEH and contemporary rupture of an aortic abdominal aneurysm (AAA). The clinical experience suggests that a prompt neuroradiological diagnosis and rapid surgical decompression are essential to allow good recovery. We also discuss the etiology, pathogenesis, clinical features, differential diagnosis, and prognosis.
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