Research Article
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Epileptik Nöbet Sonrası Vertebra Kırık Sıklığı

Year 2015, Volume: 1 Issue: 2, 44 - 53, 15.08.2015

Abstract

Amaç: Epileptik nöbet sonrası gelişen omurga kırıklarının görülme ve yerleşim yeri sıklığı
sonuçlarımızı sunmak.
Yöntem: Bu çalışma Ocak 2010-Mayıs 2014 tarihleri arasında epileptik nöbet sonrası
travmaya bağlı vertebra kırığı olan, üç merkezdeki hastaların (N=340) kayıtlarının retrospektif
olarak incelenmesi ile yapıldı. Çalışmaya epileptik nöbet sonrası nörolojik ve radyolojik
muayenelerine göre omurga kırığı tanısı olan hastalar dahil edildi.
Bulgular: Vertebra kırığı tespit edilen 40 hastanın 8’sinin servikal bölgede kırığı vardı:
bunların da 2’sinde korpus kırığı, 6’inde hasta spinöz proseslerinde kırık tespit edildi. Torakal
bölgede toplamda 17 hastanın 13’ünde korpus kırığı ve 4’ünde spinöz proseslerinde kırığı
tespit edilirdi. Lomber bölgede ise 15 hastada kırık tespit edildi. Bunların 4’ünde korpus ve 11
ise spinöz proseslerinde kırık tespit edildi. Epileptik nöbet sonrası korpus yaralanması en sık
torakalde ve proses yaralanması ise en sık lomber bölgede görüldü. Çıkan sonuçlar %95
güven aralığında idi, P=

References

  • Napier RJ, Nolan PC. Diagnosis of vertebral fractures in post-ictal patients. Emerg Med J 2011;28:169-170.
  • Ghayem Hasankhani E ve Omidi-Kashani F. Multiple lumbar vertebral fractures following a single idiopathic seizure in an otherwise healthy patient; a case report. Med J Islam Repub Iran 2013;27:233-235.
  • Lazzari AA, Dussault PM, Thakore-James M, Gagnon D, Baker E, Davis SA, Houranieh AM. Prevention of bone loss and vertebral fractures in patients with chronic epilepsy-antiepileptic drug and osteoporosis prevention trial. Epilepsia 2013;54:1997-2004.
  • Meier C, Lamy O, Krieg MA, Mellinghoff HU, Felder M, Ferrari S, Rizzoli R. The role of teriparatide in sequential and combination therapy of osteoporosis. Swiss Med Wkly 2014;144:13952.
  • Rupprecht TA, Schellinger PD, Mohr A, Meinck HM. Nocturnal spinal fracture--first manifestation of epilepsy. Unfallchirurg 2001;104:179-180.
  • Kalaci A, Duru M, Karazincir S, Sevinç TT, Kuvandik G, Balci A. Thoracic spine compression fracture during isoniazid-induced seizures: case report. Pediatr Emerg Care 2008;24:842-844.
  • Carl W, Marha J, Morell and Timothy A, Chapter 141. Epilepsy. Merritt’s Neurology 11TH Edition Houston USA, 2005;990-1014.
  • Nonato ER ve Borges MA. Oral and maxillofacial trauma in patients with epilepsy: prospective study based on an outpatient population. Arq Neuropsiquiatr 2011;69:491-495.
  • Ablah E, Hesdorffer DC, Liu Y, Paschal AM, Hawley S, Thurman D, Hauser WA. Prevalence of Epilepsy in Rural Kansas Study Group. Prevalence of epilepsy in rural Kansas. Epilepsy Res 2014;108:792-801.
  • Cha KH, Cho TG, Kim CH, Lee HK, Moon JG. Comparative study on the period of absolute bed rest of vertebral compression fracture. Korean J Spine 2013;10:144-148.
  • Torreggiani WC, Lyburn ID, Harris AC, Nicolaou S. Odontoid fracture following an epileptic seizure. Australas Radiol. 2001;45:359-361.
  • B M M, Hegde D, Hussain PS. Management of unstable thoracolumbar spinal fractures by pedicle screws and rods fixation. J Clin Diagn Res 2014;8:121-123.
  • Mori S. Justification criteria for vertebral fractures; year 2012 revision Clin Calcium 2014;24:331- 338.
  • Guglielmi G, di Chio F, Vergini MR, La Porta M, Nasuto M, Di Primio LA. Early diagnosis of vertebral fractures. Clin Cases Miner Bone Metab 2013;10:15-18.
  • Hofstetter CP, Wang MY. Burst fractures. J Neurosurg Spine 2014;20:148-9.
Year 2015, Volume: 1 Issue: 2, 44 - 53, 15.08.2015

Abstract

References

  • Napier RJ, Nolan PC. Diagnosis of vertebral fractures in post-ictal patients. Emerg Med J 2011;28:169-170.
  • Ghayem Hasankhani E ve Omidi-Kashani F. Multiple lumbar vertebral fractures following a single idiopathic seizure in an otherwise healthy patient; a case report. Med J Islam Repub Iran 2013;27:233-235.
  • Lazzari AA, Dussault PM, Thakore-James M, Gagnon D, Baker E, Davis SA, Houranieh AM. Prevention of bone loss and vertebral fractures in patients with chronic epilepsy-antiepileptic drug and osteoporosis prevention trial. Epilepsia 2013;54:1997-2004.
  • Meier C, Lamy O, Krieg MA, Mellinghoff HU, Felder M, Ferrari S, Rizzoli R. The role of teriparatide in sequential and combination therapy of osteoporosis. Swiss Med Wkly 2014;144:13952.
  • Rupprecht TA, Schellinger PD, Mohr A, Meinck HM. Nocturnal spinal fracture--first manifestation of epilepsy. Unfallchirurg 2001;104:179-180.
  • Kalaci A, Duru M, Karazincir S, Sevinç TT, Kuvandik G, Balci A. Thoracic spine compression fracture during isoniazid-induced seizures: case report. Pediatr Emerg Care 2008;24:842-844.
  • Carl W, Marha J, Morell and Timothy A, Chapter 141. Epilepsy. Merritt’s Neurology 11TH Edition Houston USA, 2005;990-1014.
  • Nonato ER ve Borges MA. Oral and maxillofacial trauma in patients with epilepsy: prospective study based on an outpatient population. Arq Neuropsiquiatr 2011;69:491-495.
  • Ablah E, Hesdorffer DC, Liu Y, Paschal AM, Hawley S, Thurman D, Hauser WA. Prevalence of Epilepsy in Rural Kansas Study Group. Prevalence of epilepsy in rural Kansas. Epilepsy Res 2014;108:792-801.
  • Cha KH, Cho TG, Kim CH, Lee HK, Moon JG. Comparative study on the period of absolute bed rest of vertebral compression fracture. Korean J Spine 2013;10:144-148.
  • Torreggiani WC, Lyburn ID, Harris AC, Nicolaou S. Odontoid fracture following an epileptic seizure. Australas Radiol. 2001;45:359-361.
  • B M M, Hegde D, Hussain PS. Management of unstable thoracolumbar spinal fractures by pedicle screws and rods fixation. J Clin Diagn Res 2014;8:121-123.
  • Mori S. Justification criteria for vertebral fractures; year 2012 revision Clin Calcium 2014;24:331- 338.
  • Guglielmi G, di Chio F, Vergini MR, La Porta M, Nasuto M, Di Primio LA. Early diagnosis of vertebral fractures. Clin Cases Miner Bone Metab 2013;10:15-18.
  • Hofstetter CP, Wang MY. Burst fractures. J Neurosurg Spine 2014;20:148-9.
There are 15 citations in total.

Details

Subjects Health Care Administration
Journal Section Research Article
Authors

Necati Üçler

Şeyho Cem Yücetaş

Süleyman Kılınç This is me

İlhan Çağ This is me

Yusuf Ehi This is me

Serdal Albayrak This is me

Can Hakan Yıldırım This is me

Publication Date August 15, 2015
Submission Date January 1, 2015
Published in Issue Year 2015 Volume: 1 Issue: 2

Cite

AMA Üçler N, Yücetaş ŞC, Kılınç S, Çağ İ, Ehi Y, Albayrak S, Yıldırım CH. Epileptik Nöbet Sonrası Vertebra Kırık Sıklığı. ADYÜ Sağlık Bilimleri Derg. August 2015;1(2):44-53.