title: [Scapular and vertebral osteopathies during acute myoclonic bismuth encephalopathies. Apropos of 8 cases].
abstract: Among 59 cases of bismuth encephalopathy, 8 patients were observed to have osteo-articular lesions of the shoulders and dorsal vertebral. These included osteonecrosis of the head of the humerus, which has been reported previously, uni- or bi-lateral fractures of the upper end of the humerus, and vertebral fractures. Severe and repeated myoclonic spasms appear to be capable of causing fractures; microscopic fractures in the spongy bone could explain the osteonecrotic images observed.
mesh_terms: D000328:Adult; D000368:Aged; D001729:Bismuth / Q000009:adverse effects* / Q000627:therapeutic use; D004660:Encephalitis / Q000139:chemically induced* / Q000150:complications; D005260:Female; D050723:Fractures, Bone / Q000209:etiology*; D006801:Humans; D006810:Humeral Fractures / Q000209:etiology; D008875:Middle Aged; D009207:Myoclonus / Q000139:chemically induced* / Q000150:complications; D010020:Osteonecrosis / Q000139:chemically induced* / Q000000981:diagnostic imaging; D011859:Radiography; D012540:Scapula / Q000293:injuries*; D013904:Thoracic Vertebrae / Q000293:injuries*
chemical_list: D001729:Bismuth
vernacular_title: Les ostéopathies scapulaires et vertébrales des encéphalopathies aiguës myocloniques bismuthiques. A propos de 8 cas.