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Case Reports
. 2014 Nov 19:2014:bcr2014205531.
doi: 10.1136/bcr-2014-205531.

Traumatic rupture of sternocleidomastoid muscle following an epileptic seizure

Nicola Rachel Wooles  1 , Philip Robert Bell  2 , Marian Korda  3
Affiliations
Case Reports

Traumatic rupture of sternocleidomastoid muscle following an epileptic seizure

Nicola Rachel Wooles et al. BMJ Case Rep. .

Abstract

A 29-year-old man, a known epileptic, presented to an accident and emergency department following a tonic-clonic seizure, suffering a second seizure in the department. Subsequently, he reported neck pain, swelling and stiffness. An otorhinolaryngology neck examination revealed a tender left side with two palpable masses and a reduced range of movement. Ultrasound confirmed a ruptured middle third of the left sternocleidomastoid muscle, which was successfully treated non-surgically with analgaesia and intensive physiotherapy. Uncommonly, sternocleidomastoid muscle rupture has been reported following high-velocity trauma, but to the best of our knowledge this is the first case described in the literature following an epileptic seizure.

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Figures

Figure 1
Figure 1
Clinical photograph showing the left-sided neck mass.
Figure 2
Figure 2
Ultrasound scan showing partial rupture of the left sternocleidomastoid muscle.
See this image and copyright information in PMC

References

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