Abstract Introduction: Spontaneous
spinal epidural haematoma (SSEH)
is widely recognised throughout the
literature as a cause of myelopathy,
radicular compression being very
rarely reported. Surgical management
is almost always recommended,
especially in the cases of
spinal cord compression. Conservative
treatment is reported as a curiosity
and only in the case of
spontaneous improvement. This
report presents the particular case of
a 64-year-old patient undergoing
anticoagulant therapy that had a
cervical radiculopathy due to a
SSEH confirmed by MRI. The
patient improved spontaneously and
symptoms were solved with unconventional
conservative treatment
and without stopping the anticoagulant
therapy. Conclusions: Spontaneous
epidural haematoma must be
kept in mind when patients undergoing
anticoagulant therapy have a
sudden onset of cervicobrachialgia.
Even though most spinal surgeons
advocate surgical treatment, a conservative
approach may lead to a
complete recovery and may be considered
as a good option in the case
of radicular involvement. Discontinuation
of the anticoagulant therapy
may not always be needed,
especially when the clinical
syndrome improves spontaneously
