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作者信息

Alibrahim Hidar, Wahedi Mohamed, Almohammed Mohammed Rajab, Swed Sarya, Morjan Mohamad

机构信息

Faculty of Human Medicine, Aleppo University, Aleppo, Syria.

Department of Orthopedic Surgery, Aleppo University Hospital, Aleppo, Syria.

出版信息

Ann Med Surg (Lond). 2022 Jan 29;74:103323. doi: 10.1016/j.amsu.2022.103323. eCollection 2022 Feb.

DOI:10.1016/j.amsu.2022.103323
PMID:35145682
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8818516/
Abstract

Epilepsy is a pathological condition characterized by seizures of muscle tension and convulsions in which the patient is unable to control himself, resulting in various complications and injuries. In this paper we talk about a rare case that combines a shoulder dislocation with a fracture of the surgical neck of the humerus after an epileptic seizure. The patient came to the hospital with clinical symptoms directed at dislocating the shoulder after an epileptic seizure, but careful examination and radiography revealed the presence of a fracture of the surgical neck of the humerus, so the management needed experience to repair two serious traumatic injuries. In the light of the foregoing, the need for clinical knowledge regarding such injuries in terms of diagnosis and methods of management and treatment is very necessary especially that neglect or wrong diagnosis will lead to very bad results, the most important of which are chronic pain, disability and stiffness.

摘要

癫痫是一种以肌肉紧张发作和抽搐为特征的病理状况,患者无法自控,会导致各种并发症和损伤。在本文中,我们讲述了一个罕见病例,一名患者在癫痫发作后出现了肩关节脱位合并肱骨头外科颈骨折。该患者因癫痫发作后出现肩关节脱位的临床症状前来就医,但仔细检查和X光检查发现存在肱骨头外科颈骨折,因此治疗需要经验来修复这两种严重的创伤性损伤。鉴于上述情况,在诊断以及管理和治疗方法方面,对于此类损伤的临床知识需求非常必要,尤其是因为忽视或错误诊断会导致非常糟糕的结果,其中最重要的是慢性疼痛、残疾和僵硬。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/585e/8818516/08ad9cda76ef/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/585e/8818516/e4f79a3c7d4e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/585e/8818516/08ad9cda76ef/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/585e/8818516/e4f79a3c7d4e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/585e/8818516/08ad9cda76ef/gr2.jpg

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Ann Med Surg (Lond). 2022 Jan 29;74:103323. doi: 10.1016/j.amsu.2022.103323. eCollection 2022 Feb.
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Correlation of serum Orexin-A level with cognitive function and serum inflammatory cytokines in epileptic patients.癫痫患者血清食欲素-A水平与认知功能及血清炎症细胞因子的相关性
Am J Transl Res. 2023 Jun 15;15(6):4110-4117. eCollection 2023.

本文引用的文献

1
A randomized controlled trial of self-management for people with epilepsy and a history of negative health events (SMART) targeting rural and underserved people with epilepsy: a methodologic report.一项针对农村和服务不足的癫痫患者的自我管理干预试验(SMART)的方法学报告:针对有负面健康事件史的癫痫患者的随机对照试验。
Trials. 2021 Nov 20;22(1):821. doi: 10.1186/s13063-021-05762-z.
2
The SCARE 2020 Guideline: Updating Consensus Surgical CAse REport (SCARE) Guidelines.SCARE 2020 指南:更新共识手术病例报告(SCARE)指南。
Int J Surg. 2020 Dec;84:226-230. doi: 10.1016/j.ijsu.2020.10.034. Epub 2020 Nov 9.
3
Emergency department evaluation and treatment of the shoulder and humerus.
肩部和肱骨的急诊科评估与治疗
Emerg Med Clin North Am. 2015 May;33(2):297-310. doi: 10.1016/j.emc.2014.12.004. Epub 2015 Feb 26.
4
ILAE official report: a practical clinical definition of epilepsy.ILAE 官方报告:癫痫的实用临床定义。
Epilepsia. 2014 Apr;55(4):475-82. doi: 10.1111/epi.12550. Epub 2014 Apr 14.
5
Management of primary acute anterior shoulder dislocation: systematic review and quantitative synthesis of the literature.原发性急性前肩盂脱位的治疗:文献的系统回顾和定量综合。
Arthroscopy. 2014 Apr;30(4):506-22. doi: 10.1016/j.arthro.2014.01.003.
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Emerg Med Australas. 2005 Oct-Dec;17(5-6):463-71. doi: 10.1111/j.1742-6723.2005.00778.x.
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Epilepsy.癫痫
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