Abstract
BACKGROUND: Vertebral fracture caused solely by a convulsive seizure has rarely been reported in the neurosurgical literature. CASE DESCRIPTION: We describe a 34-year-old male with severe back pain from a thoracic fracture occurring in association with a seizure during hospitalization for treatment of temporal lobe epilepsy. Bone mineral densities in the lumbar spine and the femoral neck were decreased, possibly by long-term anti-epileptic medication. Muscle contractions during a seizure can result in vertebral fractures, especially at the thoracic levels. CONCLUSION: A complaint of back pain after a convulsive seizure should prompt radiologic investigation for vertebral fracture, even in the absence of external trauma.
Original language | English |
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Pages (from-to) | 214-216 |
Number of pages | 3 |
Journal | Surgical Neurology |
Volume | 58 |
Issue number | 3-4 |
DOIs | |
Publication status | Published - 2002 Jan 1 |
Externally published | Yes |
Keywords
- Epilepsy
- Fracture
- Seizure
- Thoracic spine
ASJC Scopus subject areas
- Surgery
- Clinical Neurology