title: Traumatic rupture of sternocleidomastoid muscle following an epileptic seizure.
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.
authors.affiliation: Department of General Surgery, Craigavon Area Hospital, Portadown, UK.
authors.forename: Nicola Rachel
authors.initials: NR
authors.lastname: Wooles
authors.affiliation: Craigavon Area Hospital, Belfast, UK.
authors.forename: Philip Robert
authors.initials: PR
authors.lastname: Bell
authors.affiliation: Department of ENT, Craigavon Area Hospital, Portadown, UK.
authors.forename: Marian
authors.initials: M
authors.lastname: Korda
mesh_terms: D000328:Adult; D004830:Epilepsy, Tonic-Clonic / Q000150:complications*; D006801:Humans; D008297:Male; D019838:Neck Injuries / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D009334:Neck Muscles / Q000000981:diagnostic imaging / Q000293:injuries*; D026741:Physical Therapy Modalities; D012421:Rupture / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D012640:Seizures / Q000150:complications*; D014463:Ultrasonography