title: [Bilateral shoulder dislocation fractures, femoral neck and vertebral fractures: a remarkable combination of injuries during an epileptic seizure].
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.
authors.forename: M
authors.initials: M
authors.lastname: Sturzenegger
authors.forename: S
authors.initials: S
authors.lastname: von Gumppenberg
mesh_terms: D000328:Adult; D001863:Bone Screws; D001864:Bone Wires; D002220:Carbamazepine / Q000627:therapeutic use; D048909:Diabetes Complications; D004827:Epilepsy / Q000188:drug therapy; D004830:Epilepsy, Tonic-Clonic / Q000150:complications*; D005265:Femoral Neck Fractures / Q000209:etiology*; D005593:Fracture Fixation, Internal; D005596:Fractures, Closed / Q000209:etiology*; D006615:Hip / Q000000981:diagnostic imaging; D006801:Humans; D008108:Liver Diseases, Alcoholic / Q000150:complications*; D008159:Lumbar Vertebrae / Q000293:injuries*; D008297:Male; D011859:Radiography; D012782:Shoulder / Q000000981:diagnostic imaging; D012783:Shoulder Dislocation / Q000209:etiology*; D012784:Shoulder Fractures / Q000209:etiology*; D013131:Spine / Q000000981:diagnostic imaging; D013904:Thoracic Vertebrae / Q000293:injuries*
chemical_list: D002220:Carbamazepine
vernacular_title: Bilaterale Schulter-luxationsfrakturen, Schenkelhals- und Wirbelfraktur: Eine bemerkenswerte Verletzungskombination im epileptischen Anfall.