Atalar Ebru, Gunay Cuneyd, Atalar Hakan, Tunc Tugba
Department of Physical Theraphy and Rehabilitation, Ankara Ataturk Chest Diseases and Chest Surgery Training and Research Hospital, 06280 Ankara, Turkey.
Department of Orthopaedics and Traumatology, Faculty of Medicine, Eskisehir Osmangazi University, 26480 Eskisehir, Turkey.
Case Rep Orthop. 2015;2015:646352. doi: 10.1155/2015/646352. Epub 2015 Apr 5.
A 49-year-old male presented with acute midthoracic severe back pain following a witnessed nocturnal convulsion attack. There was no history of trauma and the patient had a 23-year history of Type I diabetes mellitus. MRI scans of the thoracic spine revealed compression fractures at T5, T6, T7, and T8 vertebrae. The patient was treated conservatively. At 17 months after the initial diagnosis, the complaints of back pain had been resolved and the patient was able to easily undertake daily living activities. Hypoglycaemia is a common problem in diabetic patients treated with insulin. Convulsions may occur as a consequence of insulin-induced hypoglycemia. Nontraumatic compression fractures of the thoracic spine following seizures are a rare injury. Contractions of strong paraspinal muscles can lead to compression fracture of the midthoracic spine. Unrecognized hypoglycaemia should be considered to be a possible cause of convulsions in insulin-dependent diabetic patients. The aim of this report is to point out a case of rarely seen multilevel consecutive vertebrae fractures in a diabetic patient after a nocturnal hypoglycaemic convulsion attack.
一名49岁男性在夜间发生惊厥发作后，出现急性胸段中部严重背痛。无外伤史，该患者有23年1型糖尿病病史。胸椎MRI扫描显示T5、T6、T7和T8椎体压缩性骨折。患者接受了保守治疗。在初次诊断17个月后，背痛症状已缓解，患者能够轻松进行日常生活活动。低血糖是接受胰岛素治疗的糖尿病患者的常见问题。惊厥可能是胰岛素诱导的低血糖的结果。癫痫发作后胸椎非创伤性压缩性骨折是一种罕见的损伤。强大的椎旁肌收缩可导致胸段中部脊柱压缩性骨折。未被识别的低血糖应被视为胰岛素依赖型糖尿病患者惊厥的可能原因。本报告的目的是指出一例糖尿病患者在夜间低血糖惊厥发作后出现罕见的多节段连续椎体骨折的病例。
