-
- N Heye.
- Neurologische Klinik, St. Josef Hospital, Ruhr Universität Bochum, Bochum, Germany.
- Spine. 1995 Sep 1;20(17):1931-2.
Study DesignThis is a report of a patient with acute spinal epidural hematoma taking aspirin, 250 mg/day.ObjectiveTo describe the association of spinal epidural hematoma and aspirin.Summary Of Background DataIn about 50% of patients, the cause of acute spinal epidural hematoma is obscure. Analysis of possible mechanisms is necessary.MethodsDiagnostic lumbar puncture, suboccipital myelography, and surgical removal of the hematoma was performed.ResultsIncreased bleeding was noticed during these procedures. Bleeding time was normal 6 days after discontinuance of aspirin.ConclusionBecause aspirin is widely used, its role in causing spinal epidural hematoma will remain conjectural. For the present patient, however, it was postulated that aspirin had a major impact on the extent of the epidural bleeding. There should be awareness of a possible link between aspirin and spinal epidural hematoma.
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