Pure epidural
cavernous hemangioma of the
spine without vertebral involvement is rare. Due to the slow
growth of this lesion, the most common symptoms are
chronic pain,
myelopathy, and
radiculopathy. In our case, the
patient complained of an acute onset sensory deficit of the C4 dermatome. An MRI revealed an epidural mass with an acute
hematoma. Here, we
report a case of a pure epidural
cavernous hemangioma that presented with acute
neurologic symptoms caused by intralesional
hemorrhage and an acute epidural
hematoma, which were demonstrated on the
patient's MRI.