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[双侧肩关节脱位骨折、股骨颈骨折和椎体骨折:癫痫发作期间出现的一组罕见复合损伤]

[Bilateral shoulder dislocation fractures, femoral neck and vertebral fractures: a remarkable combination of injuries during an epileptic seizure].

作者信息

Sturzenegger M, von Gumppenberg S

出版信息

Aktuelle Traumatol. 1985 Aug;15(4):180-3.

PMID:2864813
Abstract

Fracture complications of convulsions are reported occasionally, e.g.: mono- or bilateral posterior shoulder luxations and luxation fractures, central dislocations of the hip as well as fractures of the femoral neck or compression fractures of vertebrae. A case is reported where the patient sustained four such lesions simultaneously. The epileptic seizure occurred following the sudden interruption of a neurotropic therapy with Carbamazepin (Tegretal). A general osteodystrophy was not found. The simultaneous presence of four such lesions following one convulsion has never before been reported and appears to be very uncommon. The frequency and problems of post-epileptic fractures are discussed and the operative treatment of the lesions briefly described.

摘要

惊厥的骨折并发症偶尔会有报道,例如:单侧或双侧后肩部脱位及脱位骨折、髋关节中心脱位以及股骨颈骨折或椎体压缩性骨折。本文报告了一例患者同时出现四处此类损伤的病例。癫痫发作发生在突然中断用卡马西平( Tegretal)进行的神经营养治疗之后。未发现全身性骨营养不良。此前从未报道过一次惊厥后同时出现四处此类损伤的情况,而且似乎非常罕见。文中讨论了癫痫后骨折的发生率及相关问题,并简要描述了损伤的手术治疗方法。

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引用本文的文献

1
[Simultaneous bilateral ventral and dorsal shoulder dislocation following an epileptic convulsion--a rare combination of injuries].癫痫发作后同时发生双侧肩部腹侧和背侧脱位——一种罕见的复合损伤
Unfallchirurg. 2005 Apr;108(4):327-31. doi: 10.1007/s00113-004-0878-8.