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Highlights The spinal subdural hematoma is a rare situation which should be evoked in any patient treated by vitamin K antagonists with signs of spinal cord compression. Magnetic resonance imaging is the imaging exam of choice to establish the diagnosis. Rapid correction of bleeding disorders is required. Sometimes, emergent surgical evacuation of the hematoma is the only therapeutic option to ensure optimal neurological prognosis. The procedures for resuming anticoagulation should be subject to a multidisciplinary consultation.

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The benignity of meningiomas is relative because these tumors can cause exceptional complications such as bleeding.