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Cervical laminectomy was done from C4 to C7 level. About 15 g of solid blood clot was evacuated beneath the ligamentum flavum [Figure 2]. No vascular malformation or tumor was seen. Pathological examination of the clot reveals no malignant cells or vascular malformation. The term “spontaneous” has been named here as no precipitating factor or etiology could be identified after investigation and operation. The patient showed gradual improvement of symptoms by 7th post-operative day and was asymptomatic after 3 weeks of follow-up.

Acute spontaneous cervical spinal posterior epidural hematoma in a young adult patient