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Neurosurg Rev. 1992;15(1):21-5.

Aspirin as a risk factor for hemorrhage in patients with head injuries.

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  • 1Department of Neurosurgery, University Hospital of Basle, Switzerland.


The role of aspirin as a risk factor in the occurrence of intracranial bleeding following head injury was investigated. Chronic subdural hematoma appears to be a suitable model for the evaluation of risk factors in the development of hemorrhage. The most common risk factors found in our study were, apart from age, chronic alcohol abuse (28%), consumption of cumarin-derivates (21%), aspirin (13%), and heparin (5%). A patient undergoing aspirin treatment must be considered at risk of development of chronic subdural hematoma. Aspirin should not be prescribed to patients with post-traumatic headaches.

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