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Case Reports in Orthopedics
Volume 2015, Article ID 646352, 4 pages
http://dx.doi.org/10.1155/2015/646352
Case Report

A Rarely Seen Multilevel Thoracic Vertebral Fracture after a Nocturnal Hypoglycemic Convulsion Attack

1Department of Physical Theraphy and Rehabilitation, Ankara Ataturk Chest Diseases and Chest Surgery Training and Research Hospital, 06280 Ankara, Turkey
2Department of Orthopaedics and Traumatology, Faculty of Medicine, Eskisehir Osmangazi University, 26480 Eskisehir, Turkey
3Department of Orthopaedics and Traumatology, Gazi University School of Medicine, 06560 Ankara, Turkey
4Department of Neurology, Gazi University School of Medicine, 06560 Ankara, Turkey

Received 13 October 2014; Accepted 24 March 2015

Academic Editor: Marios G. Lykissas

Copyright © 2015 Ebru Atalar et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.