Lumbar spontaneous spinal epidural haematoma

Spinal epidural haematoma can be secondary to congential acquired coagulation disorder or rupture of a vascular malformation. However, sometimes none of these aetilogies are present, as in the case of our patient. The authors report a case of lumbar spontaneous epidural haematoma causing complications of a malignant systemic arterial hypertension in a 48-year-old patient, who had not presented signs of arterial hypertension previously. In this study, we discuss the clinical aspects, pathogenesis and exploration methods of this rare disease. Its characteristics are that it appears suddenly and constitutes a therapeutic emergency