A Rare Case of Spontaneous Cervical Epidural Hematoma in a 12-year-old Child

Pediatric spontaneous cervical epidural hematoma (SSEH) is an exceptionally rare condition, often presenting with nonspecific symptoms that may delay diagnosis. Early recognition and prompt surgical decompression are essential to prevent irreversible neurological injury and improve outcomes. A 12-year-old girl presented with the sudden onset of neck pain and quadriparesis with bowel and bladder dysfunction. Cervical magnetic resonance imaging (MRI) revealed a left posterolateral epidural hematoma extending from C4 to C7, causing significant cord compression. The patient underwent emergency C4–C6 laminectomy and complete evacuation of the hematoma. Postoperatively, she demonstrated partial neurological recovery and continues rehabilitation. Spontaneous cervical epidural hematoma in children without preceding trauma or identifiable etiology is an uncommon neurosurgical emergency. Prompt MRI evaluation and early surgical decompression are crucial to relieve cord compression, restore perfusion, and minimize secondary spinal injury. Although prognosis is generally favorable, residual deficits may persist in delayed presentations.