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Seizure-induced lumbar burst fracture associated with conus medullaris-cauda equina compression

A 36-year-old male developed a burst fracture of the L1 vertebra following a seizure. The patient experienced conus-cauda equina compression resulting in urinary retention and patchy sensory loss. An MRI of the spine revealed short tau inversion recovery (STIR) hyperintensity at L1 with 70% loss of vertebral body height, 8-mm posterior bony retropulsion into the spinal canal and T2-weighted hyperintensity in the cord, which is consistent with cord edema. A thorough physical exam and imaging is critical for immediate diagnosis of spine injuries to prevent grave neurological complications

Keywords : Adult,Body Height,Boston,Cauda Equina,complications,Decompression,Surgical,diagnosis,diagnostic imaging,Edema,etiology,Fractures,Compression,Humans,injuries,Lumbar Vertebrae,Magnetic Resonance Imaging,Male,methods,pathology,Postoperative Care,Radiology,Rare Diseases,Recovery of Function,Risk Assessment,Seizures,Spinal Canal,Spinal Cord Compression,Spinal Fractures,Spine,surgery,Tomography,X-Ray Computed,Treatment Outcome,, Lumbar,Burst,Fracture,Associated,With, plasters for pain

Date of Publication : 2011 Sep

Authors : Sharma A;Avery L;Novelline R;

Organisation : Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA. ashishdoc84@yahoo.co.in

Journal of Publication : Diagn Interv Radiol

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/20717887

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