Cervical epidural hematoma is an uncommon cause of neck pain. It may occur spontaneously or after trauma and has also become associated with many underlying conditions. Most patients present with paraparesis or tetraparesis. We describe the case of a healthy 60-year-old woman in whom a spontaneous cervical epidural hematoma developed while she was swimming. She presented with transient hemiparesis and recovered without surgery. This case is unusual with respect to the patient's neurologic presentation and her spontaneous recovery without neurologic sequelae.