Neurosurgical Review

, Volume 15, Issue 1, pp 21–25 | Cite as

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

  • Marc A. Reymond
  • German Marbet
  • Ernst W. Radii
  • Othmar Gratzl
Original Articles


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.


Chronic subdural hematoma coagulation abnormalities head injuries acetylsalicylic acid 


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Copyright information

© Walter de Gruyter & Co 1992

Authors and Affiliations

  • Marc A. Reymond
    • 2
  • German Marbet
    • 1
  • Ernst W. Radii
    • 1
  • Othmar Gratzl
    • 1
  1. 1.Departments of Neurosurgery, Internal Medicine/Hemostasiology and Neuro-radiologyUniversity Hospital of BasleSwitzerland
  2. 2.Departement ChirurgieKantonsspital BaselBaselSwitzerland

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