Case Report an Unusual Seizure-Related Injury in a Patient with Rett Syndrome: A Sewing Needle Foreign Body to the Leg

Department of Emergency Medicine, Rowan University SOM, Kennedy University Hospital, Stratford, NJ, USA.

Corresponding Author:  Alan Lucerna, Department of Emergency Medicine, Rowan University SOM, Kennedy University Hospital, Stratford, NJ 08084, USA, Tel: 856-346-7985; E-Mail: [email protected] 

Received Date: 13 Mar 2017   
Accepted Date: 15 Mar 2017   
Published Date: 17 Mar 2017

Copyright © 2017 Lucerna A

Citation: Alan Lucerna, James Espinosa and Philip Carhart. (2017). Case Report an Unusual Seizure-Related Injury in a Patient with Rett Syndrome: A Sewing Needle Foreign Body to the Leg. Mathews J Emergency Med. 2(1): 022.

ABSTRACT

This case describes a 43-year-old female with Rett syndrome in whom a sewing needle was identified in her left leg after a seizure. The diagnosis was made based on the patient's inability to stand on the affected leg in association with a careful physical examination and ancillary imaging. The patients was admitted to the hospital. The sewing needle was successfully removed under anesthesia under fluoroscopic guidance. This case highlights the importance of a very careful physical exam and of additional history taking based on physical findings in a patient who has had a seizure. This is especially critical in the context of cognitive impairment, as was the case in this patient with Rett Syndrome. Based on a review of the literature, the patient presented in this case had an unusual seizure associated injury-a sewing needle penetration of her calf.

KEYWORDS

Seizure-Related Injury; Needle Injury to Leg Associated with a Seizure; Epilepsy-Related Injury; Sewing Needle Foreign Body to Leg Associated with a Seizure; Rett Syndrome; Injury Associated with Rett Syndrome with Seizures.