Spontaneous haemorrhage within or compressing the spinal cord is a rare condition that requires emergency investigation and treatment. Such a case presenting with rapidly progressive flaccid quadriparesis, with subsequent ventilatory failure is reported. In this case the patient probably had an unfortunate complication of hypertension and over-anticoagulation.
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Competing interests: None declared.
Informed consent was given by this patient for publication of this report and figure.