Roohi Fereydoon, Fox Andrew
Department of Neurology, Long Island College Hospital, 339 Hicks Street, Brooklyn, NY 11201, USA.
J Emerg Med. 2006 Nov;31(4):381-5. doi: 10.1016/j.jemermed.2006.04.012.
Fractures of the thoracic and lumbar vertebrae as a direct consequence of generalized epileptic convulsions are the most common non-traumatic type of fracture complicating epileptic seizures. The majority of these fractures are compression fractures that occur with minimal symptoms and virtually no permanent neurological sequela. Nevertheless, muscle contractions generated during generalized motor seizures can result in severe axial skeletal trauma and grave neurological complications. We describe the case of a 35-year-old man who suffered a burst fracture of the first lumbar vertebral body and acute conus medullaris-cauda equina syndrome as a direct consequence of a single grand mal seizure. The aim of this report is to draw attention to this serious complication of generalized convulsive seizures and alert readers to epilepsy-related vertebral fractures. Diagnosis and management of acute cauda equina-conus medullaris syndrome caused by lumbar fracture are reviewed.
作为全身性癫痫发作的直接后果，胸腰椎骨折是癫痫发作最常见的非创伤性骨折类型。这些骨折多数为压缩性骨折，症状轻微，几乎不会留下永久性神经后遗症。然而，全身性运动性癫痫发作期间产生的肌肉收缩可导致严重的轴向骨骼创伤和严重的神经并发症。我们描述了一名35岁男性的病例，他因一次癫痫大发作直接导致第一腰椎椎体爆裂骨折和急性圆锥马尾综合征。本报告的目的是提请注意全身性惊厥发作的这一严重并发症，并提醒读者注意与癫痫相关的椎体骨折。本文还对腰椎骨折所致急性马尾圆锥综合征的诊断和治疗进行了综述。
