Spontaneous Spinal Epidural Hematoma in Alcoholism
Authors: GARY W. LONDON
Journal: Annals of Internal Medicine (1974)

Letters1 August 1974Spontaneous Spinal Epidural Hematoma in AlcoholismGARY W. LONDON, M.D., PAUL E. MCKEEVER, M.D., W. C. WIEDERHOLT, M.D.GARY W. LONDON, M.D.Search for more papers by this author, PAUL E. MCKEEVER, M.D.Search for more papers by this author, W. C. WIEDERHOLT, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-81-2-266_2 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the editor: Spontaneous spinal epidural hemorrhage causing acute spinal cord compression is a relatively rare occurrence, with slightly more than 100 cases reported (1). We report here an extensive, spontaneous spinal epidural hematoma as an unusual complication of chronic alcoholism.A 50-year-old male alcoholic patient was admitted with signs of hepatic failure, including jaundice, hepatomegaly, splenomegaly, prominent abdominal venous pattern, and ascites. Laboratory data were platelet count, 130 000/mm3; prothrombin time, 19.5 sec (control, 12.5 sec); total bilirubin, 14.8 mg/100 ml; direct bilirubin, 11.4 mg/100 ml; serum glutamic-oxalacetic transaminase, 323 IU; alkaline phosphatase, 67 U/100 ml.Three days after...References1. JELLINGER K: Traumatic vascular disease of the spinal cord, in Vascular Diseases of the Nervous System Part II, Handbook of Clinical Neurology, edited by VINKEN PJ and BRUYN GW. New York, American Elsevier Publishing Co., Inc., 1972, p. 556 Google Scholar2. GAUTHIER G: L'hématome extradural rachidien sans fracture de la colonne. Revue de 56 cas vérifiés. Psychiatr Neurol (Basel) 146:149-175, 1963 CrossrefMedlineGoogle Scholar3. HARIK S, RAICHLE M, and REIS D: Spontaneously remitting spinal epidural hematoma in a patient on anticoagulants. N Engl J Med 284:1355-1357, 1971 CrossrefMedlineGoogle Scholar4. BATSON O: The function of the vertebral veins and their role in the spread of metastases. Ann Surg 112:138-149, 1940 CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: GARY W. LONDON, M.D.; PAUL E. MCKEEVER, M.D.; W. C. WIEDERHOLT, M.D.Affiliations: Veterans Administration Hospital San Diego and the Departments of Neurosciences and Pathology University of California, San Diego La Jolla California 92037 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byPostoperative spinal epidural hematoma (SEH): incidence, risk factors, onset, and managementSpontaneous spinal epidural hematoma presenting with quadriplegia after sit-ups exerciseSpontaneous Spinal Epidural Hematoma Following Weight LiftingOutcome after spontaneous spinal epidural hematoma in children: Case report and review of the literatureComplete nonsurgical resolution of a spontaneous spinal epidural hematomaSpinal epidural hematoma. Report of a case and review of the literatureThe spontaneous spinal epidural hematomaCon: Epidural anesthesia is not a valuable adjunct to general anesthesia for abdominal vascular surgerySpinal haematoma following epidural analgesiaHematoma epidural espinal espontâneo durante a gravidez: registro de um casoSpontaneous spinal epidural haematomaEpidural analgesia and anticoagulant therapy.Epidural analgesia and anticoagulant therapyMielopatia induzida por medicação anticoagulante: relato de um caso com hematoma epidural espinhalHematoma epidural espinal espontâneo: registro de dois casos 1 August 1974Volume 81, Issue 2Page: 266-267KeywordsAlcoholismBilirubinHemorrhageHepatomegalyPhosphatasesPlateletsProthrombin timeResearch laboratoriesSpinal cordSplenomegaly ePublished: 1 December 2008 Issue Published: 1 August 1974 PDF downloadLoading ...