Zijlmans G J M, Huijbregts J E, van Nielen K M B
Universitair Medisch Centrum Utrecht, afd. Neurologie, Heidelberglaan 100, 3584 CX Utrecht.
Ned Tijdschr Geneeskd. 2006 Apr 1;150(13):747-9.
An 82-year-old man was brought into the emergency department after an epileptic seizure. Although the seizure took place in his bed and was not followed by a fall, his right hip was broken. No underlying bone abnormalities were found. The patient received a femoral head & neck prosthesis and recovered fully. Fractures are more common in patients with epilepsy than in the general population, due to both seizure-related trauma and a relatively high prevalence of osteoporosis, which is due partly to the use of anti-epileptic drugs. However, even after a seizure without trauma in a patient without underlying abnormalities of bone structure, a fracture may arise as a result of the force of the muscle contractions during the seizure.
一名82岁男性在癫痫发作后被送往急诊科。尽管癫痫发作是在床上发生的，且发作后没有摔倒，但他的右髋部骨折了。未发现潜在的骨骼异常。该患者接受了股骨头和颈假体植入，已完全康复。由于与癫痫发作相关的创伤以及骨质疏松症相对较高的患病率（部分归因于抗癫痫药物的使用），癫痫患者比普通人群更容易发生骨折。然而，即使在没有骨骼结构潜在异常的患者中，癫痫发作时没有创伤，也可能由于发作期间肌肉收缩的力量而导致骨折。
