Background: Spinal epidural haematoma is a rare but potentially devastating condition that may present as an acute neurosurgical emergency. Prompt recognition and intervention are critical to prevent permanent neurological deficits. Aim: To report a rare case of spinal epidural haematoma following the use of a home massage tool and to highlight the importance of early diagnosis and urgent surgical management. Case Report: We present a 72-year-old man who was admitted into the emergency room after developing weakness of both lower extremities following the use of a home massage tool. Definitive diagnosis was made after magnetic resonance imaging was done. He subsequently underwent an emergency decompressive laminectomy and evacuation of the haematoma. Conclusion: Spinal epidural haematoma can present as a surgical emergency. Early diagnosis with magnetic resonance imaging and prompt surgical decompression are essential for favourable outcomes. With the increasing availability and use of commercial body massagers, greater public awareness and caution are warranted.
Akpede et al. (2026) studied this question.