MAHMOUD H. MUSTAFA, M.D.; RICHARD A. BERNSTEIN, M.D.
To the editor: Spontaneous spinal epidural hematoma is a rare clinical condition (1). Most patients have no underlying cause of bleeding ( 1 ). We report a case of spontaneous epidural hematoma in a woman with factor XI deficiency.
A 70-year-old Jewish woman had sudden onset of severe back and neck pain with associated weakness in her arm and leg. She had no recent trauma or history of bleeding disorders. She had had an uncomplicated hysterectomy in the past. There was no family history of bleeding disorders.
The physical examination revealed motor strength of three fifths in the right arm
MUSTAFA MH, BERNSTEIN RA. Spontaneous Spinal Epidural Hematoma, Brown-Séquard Syndrome, and Factor Xl Deficiency. Ann Intern Med. ;106:477–478. doi: 10.7326/0003-4819-106-3-477_2
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Published: Ann Intern Med. 1987;106(3):477-478.
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