Wooles Nicola Rachel, Bell Philip Robert, Korda Marian
Department of General Surgery, Craigavon Area Hospital, Portadown, UK.
Craigavon Area Hospital, Belfast, UK.
BMJ Case Rep. 2014 Nov 19;2014:bcr2014205531. doi: 10.1136/bcr-2014-205531.
A 29-year-old man, a known epileptic, presented to an accident and emergency department following a tonic-clonic seizure, suffering a second seizure in the department. Subsequently, he reported neck pain, swelling and stiffness. An otorhinolaryngology neck examination revealed a tender left side with two palpable masses and a reduced range of movement. Ultrasound confirmed a ruptured middle third of the left sternocleidomastoid muscle, which was successfully treated non-surgically with analgaesia and intensive physiotherapy. Uncommonly, sternocleidomastoid muscle rupture has been reported following high-velocity trauma, but to the best of our knowledge this is the first case described in the literature following an epileptic seizure.
一名29岁的男性，已知患有癫痫，在一次强直阵挛发作后前往急诊部，在该部门又发作了一次癫痫。随后，他报告颈部疼痛、肿胀和僵硬。耳鼻喉科颈部检查发现左侧压痛，有两个可触及的肿块，活动范围减小。超声检查证实左侧胸锁乳突肌中三分之一处破裂，通过镇痛和强化物理治疗成功进行了非手术治疗。胸锁乳突肌破裂在高速创伤后已有报道，但据我们所知，这是文献中描述的第一例癫痫发作后的病例。
