Evaluation of Back Pain Secondary to Spinal Epidural Hematoma Associated With Aspirin Intake and a Partial Platelet Glycoprotein Ia/IIa Deficiency

doi:10.1001/archinte.1994.00420230166020

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Vol. 154 No. 23, 12 December 1994

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Evaluation of Back Pain Secondary to Spinal Epidural Hematoma Associated With Aspirin Intake and a Partial Platelet Glycoprotein Ia/IIa Deficiency

L. Franscini, MD; P. E. Ballmer, MD; M. Sturzenegger, MD; J. H. Beer, MD; E. Tuncdogan, MD; P. W. Straub, MD

Arch Intern Med. 1994;154(23):2769-2771.

Abstract

We report a case of spontaneous spinal epidural hemorrhage withthree unusual features: (1) the hemorrhage was associated withaspirin ingestion and a reduced level of platelet glycoproteinIa/IIa; (2) the patient presented with typical severe back painbut without neurologic dysfunction; and (3) the patient initiallyrecovered without surgical decompression but suffered from recurrentepidural hematoma.

(Arch Intern Med. 1994;154:2769-2771)

Author Affiliations

From the Departments of Medicine (Drs Franscini, Ballmer, Beer, and Straub), Neurology (Dr Sturzenegger), and Neuroradiology (Dr Tuncdogan), Inselspital, University of Berne (Switzerland).

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