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Cumhuriyet Üniversitesi Tıp Fakültesi, Nöroşirürji A.B.D., Sivas Spinal epidural hematomas are infrequent entities. Besides the presence of several different causative factors in the majority of the patients, a small group of cases is defined as "spontaneous". We present a patient, who had a spontaneously developed cervicothoracic spinal epidural hem atom a with a good prognosis after surgical treatment. Relevant reports are reviewed following the case presentation. Anahtar Kelimeler : Epidural hematoma, spinal cord compression, surgical decompression