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CASE SUMMARY We describe a 45-year-old feminine with unilateral exophthalmos brought on by reflex sympathetic dystrophy and its unexpected spontaneous disappearance after a regular anterior cervical discectomy and fixation operation with two PEEK interbody cages and a plate. To our surprise, the in-patient's left unilateral exophthalmos enhanced spontaneously into the early morning on postoperative time 2-with no relapse, without having any additional medicine, at th