GARY W. LONDON, M.D.; PAUL E. MCKEEVER, M.D.; W. C. WIEDERHOLT, M.D.
To 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
LONDON GW, MCKEEVER PE, WIEDERHOLT WC. Spontaneous Spinal Epidural Hematoma in Alcoholism. Ann Intern Med. 1974;81:266–267. doi: 10.7326/0003-4819-81-2-266_2
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Published: Ann Intern Med. 1974;81(2):266-267.
Tobacco, Alcohol, and Other Substance Abuse.
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