Spontaneous cervico thoracic epidural hematoma is an uncommon cause of acute (short duration) spinal cord compression. This is a rare idiopathic condition(reason unknown) that leads to acute onset of neurologic deficits, which if not recognized early can have catastrophic consequences. Acute cervical epidural hematoma is definitely a condition of neurologic emergency.

             Here, we present a case of a 41-year-old man who presented with acute onset of neck pain with radicular component with rapidly progressive weakness of lower limbs, functional recovery could achieve from zero power in the lower limbs to complete recovery with timely surgical intervention.