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Spontaneous subdural hematoma (SSDH) is a rare condition resulting in cord compression and is associated with significant mortality and morbidity. Spinal SDH can be secondary to anticoagulation therapy, blood dyscrasia, spinal puncture, trauma, spinal anesthesia, or vascular malformation. However, spontaneous SDH is rare, and pathophysiology is still unknown. 1 Rupture of the vasculature within the subarachnoid or subdural space has been proposed as a potential pathogenic mechanism in certain cases. While some suggest that the bleeding originates from the subarachnoid vessels with concomitant rupture into the subdural space following an increase in intra-abdominal or intra-thoracic pressure, others have proposed an alternative theory that the bleeding begins in the subdural space itself. 2 The clinical manifestations of SSDH are related to cord compression and vary from back pain to motor, sensory, and autonomic dysfunction. 3,4 The main approach for confirming the diagnosis is magnetic resonance imaging (MRI). 5 Although surgical intervention through decompression is considered as the main treatment option, percutaneous drainage or conservative therapies are also

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