• Der Unfallchirurg · Feb 2001

    Case Reports

    [Nocturnal spinal fracture--first manifestation of epilepsy].

    • T A Rupprecht, P D Schellinger, A Mohr, and H M Meinck.
    • Neurologische Klinik, Ruprecht-Karls-Universität Heidelberg.
    • Unfallchirurg. 2001 Feb 1;104(2):179-80.

    AbstractA 54-year-old patient suffered overnight a double thoracic burst-fracture. One week later during the investigation for a metabolic or endocrinological cause, a witnessed seizure led to an unstable fracture of the humerus and the scapula. The neurological work-up revealed a cerebral astrocytoma as the epileptogenic focus. Forces generated during a tonic-clonic seizure can result in axial skeletal trauma, including thoracic and lumbar burst fractures. Vertebral fractures unrelated to an exogenous trauma are therefore always suspicious of an underlying epileptic disease.

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