Generalized Tonic-Clonic Seizures Cause Lumbar Spine Fracture

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Volume:33 Issue:1
Generalized Tonic-Clonic Seizures Cause Lumbar Spine Fracture

Generalized Tonic-Clonic Seizures Cause Lumbar Spine Fracture

Pages : 114-116

View : 46 | Download : 13

Publication Date : 2023-02-28

Article Type : Other Papers

Abstract :A 28-year-old man presented to the emergency department after a witnessed GTC seizure. The patient had a history of systemic lupus erythematosus, previous subarachnoid hemorrhage, and pulmonary embolism. He was on regular methylprednisolone 16 mg, enoxaparin 60 mg once daily, and levetiracetam insert ignore into journalissuearticles values(LEV); 500 mg twice daily. The patient had recently stopped taking LEV. There was no trauma in the history. Neurological examination was normal. He had severe lower back pain that failed to subside despite treatment with analgesics and opioids; therefore, this patient had an indication for radiological imaging. Urgent non-contrast computerized tomography insert ignore into journalissuearticles values(CT); scan of the lumbar spine revealed a burst fracture of L1. Non-contrast lumbar magnetic resonance imaging insert ignore into journalissuearticles values(MRI); revealed a bursal fracture in the L1 vertebral corpus that caused approximately 50% height loss, and there was compression of the posterior corpus of the vertebra on the thecal sac; however, no stenosis of the spinal canal was detected. At this level, there was bone marrow edema in the vertebral corpus insert ignore into journalissuearticles values(Figure 1,2);. He was transferred to the neurosurgery department. Written informed consent was obtained from the patient for the publication of this case.
Keywords : Jeneralize nöbet, omurga kırığı, komplikasyon

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