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Non-traumatic fractures following seizures: two case reports
Koussay Ach1, Ines Slim, Sihem Trimech Ajmi
1Department of Endocrinology and Diabetology, Farhat Hached University Hospital, Ibn Jazzar Street, 4002 Soussa, Tunisia. ines.slim@yahoo.fr.
Cases Journal
|March 9, 2010
Summary
Fractures can occur from non-epileptic seizures, especially in patients with decreased bone density due to metabolic conditions. Preventing these fractures involves managing metabolic causes of seizures.
Area of Science:
- Internal Medicine
- Neurology
- Endocrinology
Background:
- Fractures are common in epileptic seizures but less reported in non-epileptic seizures.
- Metabolic conditions can decrease bone mineral density, increasing fracture risk secondary to non-epileptic seizures.
Purpose of the Study:
- To report two cases of non-traumatic fractures following non-epileptic seizures.
- To highlight the link between metabolic conditions, seizures, and fractures.
Main Methods:
- Case presentation of two male patients (18 and 48 years old) experiencing non-traumatic acetabular and vertebral fractures.
- Seizures were secondary to hypertensive encephalopathy with hypokaliemia and severe hypoglycemia.
- Fracture risk was associated with hypercorticism and diabetic chronic renal failure, both decreasing bone mineral density.
Main Results:
- Two cases of non-traumatic acetabular and vertebral fractures occurred in patients without a history of epilepsy.
- Underlying metabolic conditions (hypercorticism, diabetes mellitus) contributed to both seizures and decreased bone mineral density, predisposing to fractures.
Conclusions:
- Non-epileptic seizures can lead to fractures in individuals with pre-existing decreased bone mineral density.
- Fracture prevention strategies should address and avoid metabolic causes of seizures in at-risk populations.
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