Ovesen J, Madsen C F
Ortopaedkirurgisk afdeling, Vejle Sygehus.
Ugeskr Laeger. 1998 Aug 31;160(36):5196-7.
A 27-year-old woman, immigrated from Libanon, pregnant and at term was admitted with pain in the lower abdomen. The history was badly recognized because of the patient's inability to speak Danish. X-ray revealed a fracture of the left acetabulum with a minor central dislocation of the femoral head. During a new seizure she had another fracture of the right acetabulum also with a minor central dislocation of the femoral head and an undisplaced fracture of the proximal humerus on the left side. She was then delivered by a caesarean section. The seizures were later found to be due to grand mal type epileptic attacks. This case underlines the importance of a careful clinical and radiological investigation of patients with complaints of pain related to the central joints after seizures.
一名27岁的女性，从黎巴嫩移民而来，足月妊娠，因下腹部疼痛入院。由于患者不会说丹麦语，病史难以确切了解。X线检查显示左侧髋臼骨折伴股骨头轻度中心性脱位。在一次新的发作中，她右侧髋臼又发生骨折，同样伴有股骨头轻度中心性脱位，左侧肱骨近端有一处无移位骨折。随后她接受了剖宫产。后来发现这些发作是由于癫痫大发作类型的癫痫发作引起的。该病例强调了对癫痫发作后有与中央关节相关疼痛主诉的患者进行仔细临床和放射学检查的重要性。
