Ascending Tonic Clonic Seizure Syndrome after Percutaneous Vertebroplasty
Background Context. Cement leakage is not a rare complication of vertebroplasty, but ascending tonic clonic seizure syndrome is exceptionally rare. We herein report the first case to our knowledge of this complication related to vertebroplasty. Purpose. We herein report the first case of ascending t...
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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/10.1155/2015/870810 |
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| _version_ | 1849685758126850048 |
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| author | Guido Zarattini Adam Farrier Federico Sibona |
| author_facet | Guido Zarattini Adam Farrier Federico Sibona |
| author_sort | Guido Zarattini |
| collection | DOAJ |
| description | Background Context. Cement leakage is not a rare complication of vertebroplasty, but ascending tonic clonic seizure syndrome is exceptionally rare. We herein report the first case to our knowledge of this complication related to vertebroplasty. Purpose. We herein report the first case of ascending tonic clonic seizure syndrome following epidural cement leakage after percutaneous vertebroplasty in a patient with multiple osteoporotic compression fractures. Study Design. Case report. Methods. A 64-year-old woman with T8, T10, L2, and L4 osteoporotic compression fractures underwent percutaneous vertebroplasty using polymethylmethacrylate. 40 minutes after the procedure the patient started suffering back and leg pain, having repetitive myoclonic jerks lasting 15 seconds of the lower extremities, spasm of the back, dyspnea, sinus tachycardia, hypoxemia, and metabolic acidosis. Results. The patient recovered completely due to a combination of early effective resuscitation and considered definitive management. Conclusions. Percutaneous vertebroplasty with polymethylmethacrylate is relatively safe but has few dangerous complications, which should be prevented by a meticulous technique and excellent image quality. |
| format | Article |
| id | doaj-art-be5500a99c4c485798bed02c2b81d760 |
| institution | DOAJ |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-be5500a99c4c485798bed02c2b81d7602025-08-20T03:22:59ZengWileyCase Reports in Orthopedics2090-67492090-67572015-01-01201510.1155/2015/870810870810Ascending Tonic Clonic Seizure Syndrome after Percutaneous VertebroplastyGuido Zarattini0Adam Farrier1Federico Sibona2Orthopaedic Clinic, University of Brescia, Piazzale Spedali Civili 1, 25123 Brescia, ItalyNorth Tees University Hospital, Stockton TS19, UKOrthopaedic Clinic, University of Brescia, Piazzale Spedali Civili 1, 25123 Brescia, ItalyBackground Context. Cement leakage is not a rare complication of vertebroplasty, but ascending tonic clonic seizure syndrome is exceptionally rare. We herein report the first case to our knowledge of this complication related to vertebroplasty. Purpose. We herein report the first case of ascending tonic clonic seizure syndrome following epidural cement leakage after percutaneous vertebroplasty in a patient with multiple osteoporotic compression fractures. Study Design. Case report. Methods. A 64-year-old woman with T8, T10, L2, and L4 osteoporotic compression fractures underwent percutaneous vertebroplasty using polymethylmethacrylate. 40 minutes after the procedure the patient started suffering back and leg pain, having repetitive myoclonic jerks lasting 15 seconds of the lower extremities, spasm of the back, dyspnea, sinus tachycardia, hypoxemia, and metabolic acidosis. Results. The patient recovered completely due to a combination of early effective resuscitation and considered definitive management. Conclusions. Percutaneous vertebroplasty with polymethylmethacrylate is relatively safe but has few dangerous complications, which should be prevented by a meticulous technique and excellent image quality.http://dx.doi.org/10.1155/2015/870810 |
| spellingShingle | Guido Zarattini Adam Farrier Federico Sibona Ascending Tonic Clonic Seizure Syndrome after Percutaneous Vertebroplasty Case Reports in Orthopedics |
| title | Ascending Tonic Clonic Seizure Syndrome after Percutaneous Vertebroplasty |
| title_full | Ascending Tonic Clonic Seizure Syndrome after Percutaneous Vertebroplasty |
| title_fullStr | Ascending Tonic Clonic Seizure Syndrome after Percutaneous Vertebroplasty |
| title_full_unstemmed | Ascending Tonic Clonic Seizure Syndrome after Percutaneous Vertebroplasty |
| title_short | Ascending Tonic Clonic Seizure Syndrome after Percutaneous Vertebroplasty |
| title_sort | ascending tonic clonic seizure syndrome after percutaneous vertebroplasty |
| url | http://dx.doi.org/10.1155/2015/870810 |
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