Seizure-induced thoracic spine compression fracture: Case report

Toshiyuki Takahashi, Teiji Tominaga, Hiroshi Shamoto, Hiroaki Shimizu, Takashi Yoshimoto, Gavin Fabinyi

Research output: Contribution to journalArticlepeer-review

26 Citations (Scopus)

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 languageEnglish
Pages (from-to)214-216
Number of pages3
JournalSurgical Neurology
Volume58
Issue number3-4
DOIs
Publication statusPublished - 2002 Jan 1
Externally publishedYes

Keywords

  • Epilepsy
  • Fracture
  • Seizure
  • Thoracic spine

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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