Evaluation of back pain secondary to spinal epidural hematoma associated with aspirin intake and a partial platelet glycoprotein Ia/IIa deficiency.
We report a case of spontaneous spinal epidural hemorrhage with three unusual features: (1) the hemorrhage was associated with aspirin ingestion and a reduced level of platelet glycoprotein Ia/IIa; (2) the patient presented with typical severe back pain but without neurologic dysfunction; and (3) the patient initially recovered without surgical decompression but suffered from recurrent epidural hematoma.
Franscini
L
L
Department of Medicine, Inselspital, University of Berne, Switzerland.
Ballmer
P E
PE
Sturzenegger
M
M
Beer
J H
JH
Tuncdogan
E
E
Straub
P W
PW
D000328:Adult; D001241:Aspirin / Q000009:adverse effects*; D001416:Back Pain / Q000209:etiology*; D006407:Hematoma, Epidural, Cranial / Q000150:complications* / Q000209:etiology; D006801:Humans; D008297:Male; D010980:Platelet Membrane Glycoproteins / Q000172:deficiency*; D013118:Spinal Cord Diseases / Q000150:complications* / Q000209:etiology
D010980:Platelet Membrane Glycoproteins; D001241:Aspirin