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CONCLUSIONS Spinal epidural hematoma without significant trauma in children is a rare condition. It may present with unspecific symptoms. Screening for bleeding diathesis is warranted and neuroradiologic follow-up is essential to rule out vascular malformation. Whereas most children have a favorable outcome, some do not recover, and neurological follow-up is required.BACKGROUND The term vascular anomalies include various vascular tumors and vascular malformations, among them infantile hemangiomas and capillary malformations