Surgical neurology
Seizure-induced thoracic spine compression fracture: case report.
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BACKGROUND
Vertebral fracture caused solely by a convulsive seizure has rarely been reported in the neurosurgical literature.
METHODS
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.
CONCLUSIONS
A complaint of back pain after a convulsive seizure should prompt radiologic investigation for vertebral fracture, even in the absence of external trauma.
