Illustrative CasesSpontaneous Spinal Epidural Hematoma in an InfantKim, Michael MD∗; Hoffman, Jessa BS†; Amin, Anubhav MD∗; Purohit, Manish MD‡; Mohan, Avinash MD∗Author Information From the ∗Department of Neurosurgery, Westchester Medical Center †New York Medical College ‡Department of Pediatric Anesthesiology, Westchester Medical Center, Valhalla, NY. This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. Disclosure: The authors declare no conflict of interest. Reprints: Michael Kim, MD, Department of Neurosurgery, Westchester Medical Center, 100 Woods Rd, Macy Pavilion, Suite 1332, Valhalla, NY 10595 (e-mail: Michael.firstname.lastname@example.org). Pediatric Emergency Care: August 2020 - Volume 36 - Issue 8 - p e467-e469 doi: 10.1097/PEC.0000000000001445 Buy Metrics Abstract A spontaneous spinal epidural hematoma is a collection of blood in the spinal epidural space that occurs in the absence of trauma. They most commonly present in the fourth to fifth decade in life with acute onset neck or back pain with delayed neurologic deficit. However, this presentation is often complicated in children because of the limitations in the pediatric neurologic exam. Magnetic resonance imaging is the imaging modality of choice for diagnosis. Here is a rare case of an infant spontaneous spinal epidural hematoma whose diagnosis was delayed because of a recent history of fever and viral pharyngitis before his development of neurologic deficits. Spontaneous spinal epidural hematomas are a rare phenomenon, which often present with nonspecific symptoms in the pediatric population. This diagnosis should be considered to initiate treatment in a timely manner. The treatment typically is emergent surgical decompression to minimize the risk of permanent neurologic deficit. Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.