Abbreviations SEH: Spinal epidural hematoma . TSEH: Traumatic spinal epidural hematoma . MRI: Magnetic resonance imaging Traumatic spinal epidural hematoma (TSEH) is an uncommon disorder usually associated with spinal fracture or dislocation [3]. TSEH without bone disruption is rare and has been reported in only 18 children [1][2][3][4][5][6][7]. Although the precise reasons for the rarity of TSEH without bone disruption remain unclear, the kind of minor trauma that can actually cause TSEH may be underestimated or overlooked [6,7]. We describe a further patient with TSEH without bone disruption caused by minor back trauma.A previously healthy 4-year-old boy jumped from a table (height of 1 m) and was hit in the back by a chair on the evening before admission. At that time he was well and did not have severe back pain. The next morning he complained of severe pain in his back and legs and was admitted to another hospital. Cervical and thoracic spine X-ray films were normal. Twelve hours later, he was transferred to our hospital after developing paraplegia of the lower extremities and urinary retention necessitating insertion of a Foley catheter. On admission the patient was conscious but could not stand or sit. Neurological examination revealed a complete sensory loss below the fourth thoracic level with flaccid paraplegia of the lower extremities. Bilateral tendon reflexes of the knee and ankle were absent whilst bilateral Babinski reflexes were present. The cranial nerves were normal. There was a loss of bowel and bladder control. Laboratory studies revealed normal results of complete blood cell count, serum electrolytes, serum liver enzymes, partial thromboplastin time, prothrombin time, and bleeding time. Magnetic resonance imaging (MRI) of the thoracic spine demonstrated a posterior spinal epidural hematoma (SEH) that extended from T2 to T4 with cord compression (Fig.