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A spontaneous spinal epidural hematoma (SSEH) is a rare but significant neurological condition with hemorrhage leading to spinal cord damage, causing irreversible deficits. Its etiology is related to coagulopathy, vascular malformation, neoplasms, infections, minor vertebral traumas, and idiopathic causes. This is a case of a 57-year-old female who developed sudden onset paraplegia secondary to an episode of intractable cough, due to the development of spontaneous spinal epidural hematoma. Thedoi:10.5348/101176z01wa2020cr fatcat:utacbnzfinfvbidzxsjuz5gvp4