Non-Traumatic Vertebral Fractures: An Uncommon Complication Following the First Episode of A Convulsive Seizure

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.

並列關鍵字

Seizure ； Epilepsy ； Non-traumatic ； Vertebral fracture

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