Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
권호 표지
DOI QR코드

DOI QR Code

Quadriplegia Following Epileptic Seizure : Things to Keep in Mind

  • Kozak, Hasan Huseyin (Department of Neurology, Meram Faculty of Medicine, Necmettin Erbakan University) ;
  • Yesilbudak, Zulal (Deparment of Neurology, Beyhekim State Hospital) ;
  • Sisman, Lokman (Deparment of Neurosurgery, Beyhekim State Hospital) ;
  • Uca, Ali Ulvi (Department of Neurology, Meram Faculty of Medicine, Necmettin Erbakan University)
  • Received : 2015.03.07
  • Accepted : 2016.01.09
  • Published : 2016.05.01
Download PDF
⟨ Previous Next ⟩

Abstract

People with epilepsy are believed to be at a higher risk of incurring accidental injury than people who do not have seizures. The incidence of injury, either due to seizure or accident as a consequent of seizure is also high and varies from 0.03% to 3%. The most common injuries are head contusions, lacerations, burns and fractures. In this article, we present a case of quadriplegia after a generalized epileptic seizure.

Keywords

References

  1. Davis DP, Hoyt DB, Ochs M, Fortlage D, Holbrook T, Marshall LK, et al. : The effect of paramedic rapid sequence intubation on outcome in patients with severe traumatic brain injury. J Trauma 54 : 444-453, 2003 https://doi.org/10.1097/01.TA.0000053396.02126.CD
  2. Fitzpatrick LA : Pathophysiology of bone loss in patients receiving anticonvulsant therapy. Epilepsy Behav 5 Suppl 2 : S3-S15, 2004
  3. Kirby S, Sadler RM : Injury and death as a result of seizures. Epilepsia 36 : 25-28, 1995 https://doi.org/10.1111/j.1528-1157.1995.tb01660.x
  4. Kumar SK, Freeman BJ : Quadriplegia following grand mal seizures. Injury 30 : 626-629, 1999 https://doi.org/10.1016/S0020-1383(99)00156-4
  5. Lhatoo SD, Johnson AL, Goodridge DM, MacDonald BK, Sander JW, Shorvon SD : Mortality in epilepsy in the first 11 to 14 years after diagnosis : multivariate analysis of a long-term, prospective, population-based cohort. Ann Neurol 49 : 336-344, 2001 https://doi.org/10.1002/ana.70
  6. Mollaoglu M, Bolayir E : Epilepsili hastalarda yaralanmalar ve iliskili bazi faktorler. Noropsikiyatri Arsivi 50 : 269-273, 2013
  7. Nakken KO, Lossius R : Seizure-related injuries in multihandicapped patients with therapy-resistant epilepsy. Epilepsia 34 : 836-840, 1993 https://doi.org/10.1111/j.1528-1157.1993.tb02099.x
  8. Nei M, Bagla R : Seizure-related injury and death. Curr Neurol Neurosci Rep 7 : 335-341, 2007 https://doi.org/10.1007/s11910-007-0051-1
  9. Neufeld MY, Vishne T, Chistik V, Korczyn AD : Life-long history of injuries related to seizures. Epilepsy Res 34 : 123-127, 1999 https://doi.org/10.1016/S0920-1211(98)00105-3
  10. Parrish GA, Skiendzielewski JJ : Bilateral posterior fracture-dislocations of the shoulder after convulsive status epilepticus. Ann Emerg Med 14 : 264-266, 1985 https://doi.org/10.1016/S0196-0644(85)80453-4
  11. Pedersen KK, Christiansen C, Ahlgren P, Lund M : Incidence of fractures of the vertebral spine in epileptic patients. Acta Neurol Scand 54 : 200-203, 1976 https://doi.org/10.1111/j.1600-0404.1976.tb04794.x
  12. Russell-Jones DL, Shorvon SD : The frequency and consequences of head injury in epileptic seizures. J Neurol Neurosurg Psychiatry 52 : 659-662, 1989 https://doi.org/10.1136/jnnp.52.5.659
  13. Souverein PC, Webb DJ, Weil JG, Van Staa TP, Egberts AC : Use of antiepileptic drugs and risk of fractures : case-control study among patients with epilepsy. Neurology 66 : 1318-1324, 2006 https://doi.org/10.1212/01.wnl.0000210503.89488.88
  14. van den Broek M, Beghi E; RESt-1 Group : Accidents in patients with epilepsy : types, circumstances, and complications : a European cohort study. Epilepsia 45 : 667-672, 2004 https://doi.org/10.1111/j.0013-9580.2004.33903.x
  15. Vanderhooft E, Swiontkowski M : Bilateral femoral neck fractures following a grand mal seizure. Ann Emerg Med 24 : 1188-1191, 1994 https://doi.org/10.1016/S0196-0644(94)70254-3

Cited by

  1. Abnormal cranium development in children and adolescents affected by syndromes or diseases associated with neurodysfunction vol.11, pp.1, 2016, https://doi.org/10.1038/s41598-021-82511-x