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Related Experiment Videos

Fractures due to hypocalcemic convulsion.

S Gür1, H Yilmaz, S Tüzüner

  • 1Department of Orthopedics and Trauma Surgery, University of Akdeniz, School of Medicine, Kepez, Antalya, Turkey.

International Orthopaedics
|February 1, 2000
PubMed
Summary

Hypocalcemic seizures during hemodialysis can cause severe bone fractures. This study highlights fractures of the scapula and femur neck in two patients undergoing dialysis.

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Area of Science:

  • Nephrology
  • Orthopedics
  • Endocrinology

Background:

  • Hemodialysis is a life-sustaining treatment for end-stage renal disease.
  • Hypocalcemia, a common complication of hemodialysis, can lead to neurological manifestations.
  • Seizures are a known but infrequent neurological complication of severe hypocalcemia.

Observation:

  • Two patients undergoing hemodialysis experienced hypocalcemic seizures.
  • One patient sustained a right scapular body fracture.
  • The other patient developed bilateral femoral neck fractures.

Findings:

  • Hypocalcemic seizures during hemodialysis can precipitate traumatic bone fractures.
  • The severity of hypocalcemia and seizure activity may correlate with fracture risk.

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  • These cases demonstrate an unusual complication of hemodialysis-induced hypocalcemia.

    • Implications:

    • Clinicians should be vigilant for hypocalcemia in hemodialysis patients, especially those with neurological symptoms.
    • Consideration of skeletal integrity is important in patients experiencing seizures during dialysis.
    • Further research may elucidate the biomechanical link between seizures and bone fractures in this population.