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Department of Neurosurgery, School of Medicine, Cumhuriyet University, Sivas, Turkey We report a case of multilevel thoracic spinal epidural abscess without any evidence of predisposing factors. Methicillin-susceptible Staphylococcus aureus was identified as the causal pathogen. Infection was managed with surgical debridement and a prolonged course of antibiotic therapy. Keywords : Spinal epidural abscess