title: Generalized epileptic seizure in an adolescent idiopathic scoliosis (AIS) patient with syringomyelia after deformity correction surgery.
abstract: BACKGROUND
  Adolescent idiopathic scoliosis and epilepsy are pathologies rarely seen together. In this study we report an AIS case we operated in which epilepsy was seen post operatively. We want to emphasize the items one should pay attention in such cases.
  
  
  METHODS
  In a 14-year-old girl with AIS and concomitant syringomyelia and spondylolisthesis, posterior deformity correction and fusion were performed. After stabilization the patient was discharged on the 10th day of discharge epileptic seizure appeared.
  
  
  CONCLUSIONS
  In scoliosis surgery, the mechanic stress and bleeding caused by the operation itself can cause neurological problems due to primary nervous system injury. The operation and bleeding during and after the operation, pulmonary and cardiac functional instability, metabolic imbalance can be the causes of epileptic seizures.
  
  
  CONCLUSIONS
  Epilepsy seen after a major surgery like scoliosis surgery, can be either as a result of central nervous system origined vascular and hypoxic problems or metabolic. In our case we concluded that massive hemorrhage must have induced epilepsy. In neurologic consultations the case was considered as an incidental epileptic picture.
authors.affiliation: Dr. Lütfi Kırdar Kartal Training and Research Hospital, Kartal, Istanbul 34862, Turkey. Electronic address: gcecen2002@yahoo.com.
authors.forename: Gultekin Sıtkı
authors.initials: GS
authors.lastname: Cecen
authors.forename: Deniz
authors.initials: D
authors.lastname: Gulabi
authors.forename: Ismail
authors.initials: I
authors.lastname: Oltulu
authors.forename: Tolga
authors.initials: T
authors.lastname: Onay
keywords: Adolescent idiopathic scoliosis; Epilepsy; Vertebral posterior instrumentation