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Acta Neurol Belg ; 108(1): 17-20, 2008 Mar.
Article in English | MEDLINE | ID: mdl-18575182

ABSTRACT

PURPOSE: In epileptic patients fractures are six times more frequent than in the general population. Known predisposing factors are anticonvulsant drugs, malnutrition, lack of physical activity and sunlight exposure. METHODS: In this study we describe two patients, one with a bilateral supracondylar fracture and one with a unilateral supracondylar fracture after an epileptic seizure. The literature concerning femur fracture following an epileptic insult is reviewed. RESULTS: A review of the literature revealed several cases of femur fractures associated with epilepsy, however no cases were found involving a supracondylar femur. CONCLUSIONS: Our hypothesis is that a tonic seizure with simultaneous contraction of both agonists and antagonists can cause this type of fracture in predisposing patients.


Subject(s)
Epilepsy/complications , Femur/physiopathology , Fractures, Bone/etiology , Fractures, Bone/physiopathology , Muscle, Skeletal/physiopathology , Adolescent , Anticonvulsants/adverse effects , Cerebral Palsy/complications , Cerebral Palsy/microbiology , Cerebral Palsy/physiopathology , Child , Epilepsy/physiopathology , Femur/diagnostic imaging , Femur/pathology , Fractures, Bone/diagnostic imaging , Humans , Knee/diagnostic imaging , Knee/pathology , Knee/physiopathology , Male , Muscle Contraction , Muscle, Skeletal/innervation , Osteoporosis/complications , Osteoporosis/etiology , Osteoporosis/physiopathology , Radiography , Stress, Mechanical , Syndrome , Vitamin D Deficiency/complications , Vitamin D Deficiency/etiology , Vitamin D Deficiency/physiopathology
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