J Korean Neurosurg Soc.  2012 May;51(5):308-311. 10.3340/jkns.2012.51.5.308.

Epidural Hematoma Related with Low-Dose Aspirin : Complete Recovery without Surgical Treatment

• Kim KT
• Cho DC
• Ahn SW
• Kang SH

• KMID: 2066933
• DOI: http://doi.org/10.3340/jkns.2012.51.5.308

Abstract

Hemorrhagic complications associated with aspirin use occur primarily at skin or gastrointestinal sites but can occasionally occur in the central nervous system. In particular, spontaneous spinal epidural hemorrhage (SSEH) associated with aspirin is very rare. We report a case of low-dose (100 mg daily) aspirin-related SSEH that was successfully treated with medical management. Our case indicates that low-dose aspirin could induce SSEH and that conservative treatment with close observation and repeated imaging studies should be considered in cases with neurological improvement or mild deficits.

Keyword

Aspirin; Spinal epidural hematoma; Medical management

MeSH Terms

Aspirin
Central Nervous System
Hematoma
Hematoma, Epidural, Spinal
Skin
Aspirin