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Multiple seizure-induced thoracic vertebral compression fractures: a case report
Peter Stilwell1, Katherine Harman1, William Hsu2
1Dalhousie University.
The Journal of the Canadian Chiropractic Association
|October 8, 2016
Summary
Forceful muscle contractions during seizures can cause spinal fractures, even without trauma. This case report details a patient experiencing multiple vertebral fractures after a tonic-clonic seizure, emphasizing thorough patient evaluation.
Area of Science:
- Neurology
- Orthopedics
- Traumatology
Background:
- Musculoskeletal injuries from seizure-related muscle contractions are known.
- Multiple seizure-induced spinal fractures without external trauma or risk factors are uncommon.
Purpose of the Study:
- To report a rare case of multiple vertebral compression fractures resulting from a tonic-clonic seizure.
- To underscore the importance of considering seizures as a cause of spinal fractures.
Main Methods:
- Case presentation of a 28-year-old male with new epilepsy diagnosis.
- Patient presented with mid-thoracic pain post-seizure, with no external trauma.
- Radiographic imaging revealed five new vertebral compression fractures (T4-T8).
Main Results:
- A single tonic-clonic seizure led to multiple vertebral compression fractures.
- The patient had no external trauma or pre-existing fracture risk factors.
- Fractures were identified in the thoracic spine (T4-T8).
Conclusions:
- Highlights the potential for seizures to cause significant spinal injury.
- Emphasizes the need for comprehensive history and examination in patients with seizures and back pain.
- Suggests caution regarding spinal adjustments in patients with seizure history and back pain.
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