A Rarely Seen Multilevel Thoracic Vertebral Fracture after a Nocturnal Hypoglycemic Convulsion Attack
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...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2015/646352 |
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| author | Ebru Atalar Cuneyd Gunay Hakan Atalar Tugba Tunc |
| author_facet | Ebru Atalar Cuneyd Gunay Hakan Atalar Tugba Tunc |
| author_sort | Ebru Atalar |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-a04cde1973d64b7f998f6d2539e87b01 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-a04cde1973d64b7f998f6d2539e87b012025-08-20T03:38:11ZengWileyCase Reports in Orthopedics2090-67492090-67572015-01-01201510.1155/2015/646352646352A Rarely Seen Multilevel Thoracic Vertebral Fracture after a Nocturnal Hypoglycemic Convulsion AttackEbru Atalar0Cuneyd Gunay1Hakan Atalar2Tugba Tunc3Department of Physical Theraphy and Rehabilitation, Ankara Ataturk Chest Diseases and Chest Surgery Training and Research Hospital, 06280 Ankara, TurkeyDepartment of Orthopaedics and Traumatology, Faculty of Medicine, Eskisehir Osmangazi University, 26480 Eskisehir, TurkeyDepartment of Orthopaedics and Traumatology, Gazi University School of Medicine, 06560 Ankara, TurkeyDepartment of Neurology, Gazi University School of Medicine, 06560 Ankara, TurkeyA 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.http://dx.doi.org/10.1155/2015/646352 |
| spellingShingle | Ebru Atalar Cuneyd Gunay Hakan Atalar Tugba Tunc A Rarely Seen Multilevel Thoracic Vertebral Fracture after a Nocturnal Hypoglycemic Convulsion Attack Case Reports in Orthopedics |
| title | A Rarely Seen Multilevel Thoracic Vertebral Fracture after a Nocturnal Hypoglycemic Convulsion Attack |
| title_full | A Rarely Seen Multilevel Thoracic Vertebral Fracture after a Nocturnal Hypoglycemic Convulsion Attack |
| title_fullStr | A Rarely Seen Multilevel Thoracic Vertebral Fracture after a Nocturnal Hypoglycemic Convulsion Attack |
| title_full_unstemmed | A Rarely Seen Multilevel Thoracic Vertebral Fracture after a Nocturnal Hypoglycemic Convulsion Attack |
| title_short | A Rarely Seen Multilevel Thoracic Vertebral Fracture after a Nocturnal Hypoglycemic Convulsion Attack |
| title_sort | rarely seen multilevel thoracic vertebral fracture after a nocturnal hypoglycemic convulsion attack |
| url | http://dx.doi.org/10.1155/2015/646352 |
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