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.
(Arch Intern Med. 1994;154:2769-2771)
Franscini L, Ballmer PE, Sturzenegger M, Beer JH, Tuncdogan E, Straub PW. Evaluation of Back Pain Secondary to Spinal Epidural Hematoma Associated With Aspirin Intake and a Partial Platelet Glycoprotein Ia/IIa Deficiency. Arch Intern Med. 1994;154(23):2769-2771. doi:10.1001/archinte.1994.00420230166020