Recurrent spinal epidural hematoma: case report.
We report the case of a man of 65 who, at 20 and 37 days from surgery of C6 corpectomy, experienced two epidural hematomas at C7-D1. We assume that the pathogenic cause of this rare disease was an overlap between three main factors: the surgical aggression of the internal anterior epidural venous plexus; a possible increase of intra-thoracic pressure due to chronic obstructive pulmonary disease; and double antiplatelet drug therapy.
Neurosurgical division, army medical center of Rome, Piazza Celimontana 50, 00184 Rome, Italy. riccardo.caruso@uniroma1.it
R
R
Caruso
A
A
Pesce
V
V
Wierzbicki
L
L
Marrocco
D000368:Aged; D006407:Hematoma, Epidural, Cranial / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D046748:Hematoma, Epidural, Spinal / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D010975:Platelet Aggregation Inhibitors / Q000009:adverse effects / Q000627:therapeutic use; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications; D055502:Secondary Prevention; D013118:Spinal Cord Diseases / Q000601:surgery
D010975:Platelet Aggregation Inhibitors