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Case Report
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| Non-traumatic vertebral fractures: An uncommon complication following the first episode of a convulsive seizure | ||||||
| Nalli Ramanathan Uvaraj1, Nalli Ramanathan Gopinath2, Aju Bosco3 | ||||||
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1MS (Orth), DNB, Professor of Spine Surgery, Spine Unit, Institute of Orthopaedics and Traumatology, Rajiv Gandhi Government General Hospital and Madras Medical College, Chennai-3, Tamil Nadu, India.
2DNB, Assistant Professor of Orthopaedics, Institute of Orthopaedics and Traumatology, Rajiv Gandhi Government General Hospital and Madras Medical College, Chennai-3, Tamil Nadu, India. 3MS (Orth), Assistant Professor of Orthopaedics, Department of Orthopaedics and Traumatology, Government Mohan Kumaramangalam Medical College and Superspeciality Hospital, Salem, Tamil Nadu, India | ||||||
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| How to cite this article |
| Uvaraj NR, Gopinath NR, Bosco A. Non-traumatic vertebral fractures: An uncommon complication following the first episode of a convulsive seizure. International Journal of Case Reports and Images 2014;5(2):135–139. |
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Abstract
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Introduction:
Non-traumatic vertebral fractures that occur solely as a consequence of the muscle forces that develop during a convulsive seizure, has rarely been reported in orthopedic literature.
Case Report: Therein, we present a case of non-traumatic vertebral compression fractures in an 18-year-old male, who presented with severe back pain following a convulsive seizure, which occurred while he was sitting in his bed. He had no other reported trauma and no previous history of seizure. A detailed neurological work-up revealed no organic cause for the seizure. His bone mineral density measurements, hormonal and metabolic profiles were normal. Conclusion: Forceful muscle contractions that develop during a single episode of convulsive seizure, occurring for the first time, can result in vertebral compression fractures, even in a normal healthy individual. Vertebral fractures occurring in a healthy young (non-epileptic) male, with normal bone mineral density, presenting with back pain after a convulsive seizure is a rare clinical presentation. These vertebral fractures can appear clinically asymptomatic and can easily be overseen, especially in the absence of overt signs of external trauma and possible postictal consciousness disturbance, which may fail to provide clue to early diagnosis. A high index of clinical suspicion is needed in patients presenting with back pain after a tonic-clonic seizure even in the absence of a f all or a significant trauma. Such patients may be subjected to a systematic musculoskeletal examination and a thorough radiological evaluation to rule out potential bony injuries. | |
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Keywords:
Seizure, Epilepsy, Non-traumatic, Vertebral fracture
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Author Contributions
Nalli Ramanathan Uvaraj – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Nalli Ramanathan Gopinath – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Aju Bosco – Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© Nalli Ramanathan Uvaraj et al. 2014; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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About The Authors
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