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[Abdominal pain after a generalized tonic-clonic seizure]
Femke J Amelung1,2, Erwin van Geffen1, Marcel P J Garssen3
1Jeroen Bosch Ziekenhuis, afd. Chirurgie, 's-Hertogenbosch.
Nederlands Tijdschrift Voor Geneeskunde
|March 29, 2023
Summary
Skeletal injuries like bilateral acetabulum fractures can occur after generalized tonic-clonic seizures due to muscle contractions. Early diagnosis is crucial for proper treatment and patient recovery.
Area of Science:
- Neurology
- Orthopedics
- Trauma Surgery
Background:
- Musculoskeletal injuries following generalized tonic-clonic seizures are rare and often overlooked.
- Diagnosis can be challenging due to patient's post-ictal state and lack of apparent trauma.
Observation:
- A 58-year-old male presented with abdominal pain post-seizure.
- Imaging revealed a bilateral acetabulum fracture attributed to forceful muscular contractions during the seizure.
Findings:
- This case highlights a rare but potentially life-threatening complication of generalized tonic-clonic seizures.
- The patient underwent successful surgical fixation and fully recovered.
Implications:
- Awareness of potential skeletal injuries post-seizure is critical for prompt diagnosis.
- Timely intervention significantly improves patient prognosis and treatment outcomes.
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