ACUTE spinal epidural hemorrhage (SEH) is a potentially curable cause of spinal-cord and root compression if recognized and treated promptly. The treatment of choice is immediate surgical decompression. Of more than 100 cases existent in the literature, spontaneous recovery occurred in only one.1 That patient had hemophilia, and his condition was considered inoperable. In all other cases failure to operate resulted in permanent paraplegia and often death from the attendant complications. This report documents the second case of complete spontaneous recovery from an acute SEH. This patient, who was on anticoagulants, was recovering from an acute myocardial infarction. In addition,.