Temporomandibular joint dislocation during status epilepticus

Rakotomavo, Falihery; Raotoson, Herisitraka; Rasolonjatovo, T.Y.; Raveloson, Nasolotsiry

doi:10.1093/omcr/omw055

Cited by 7 publications

(3 citation statements)

References 6 publications

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“…Figure and Table summarize the study selection process. Five case reports were identified reporting fractures from GCSE, and 29 case reports, as well as five observational studies describing fractures from convulsive seizures (Table ). Of all 48 fractures described in detail in the literature as a direct consequence of convulsions, bilateral posterior fracture‐dislocations of the shoulders were reported most frequently (33%), followed by thoracic and lumbar vertebral compression fractures (29%), skull and jaw fractures (8%), and bilateral femoral neck fractures (6%) (Figure ; left).…”

Section: Systematic Review Of the Literaturementioning

confidence: 99%

Bone fractures from generalized convulsive seizures and status epilepticus—A systematic review

et al. 2019

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Objective We present a systematic review of the literature regarding types and anatomic distribution of fractures in association with generalized convulsive status epilepticus (GCSE) and convulsive seizures in adult patients accompanied by an illustrative case of a patient with GCSE and diffuse postictal pain from underlying bone fractures. Methods The library search engines PubMed and EMBASE were screened systematically using predefined search terms. All identified articles written in English were screened for eligibility by two reviewers. The preferred reporting items for systematic reviews and meta‐analyses guidelines were followed. Results The screening of 3145 articles revealed 39 articles meeting the inclusion criteria. Among all fractures, bilateral posterior fracture‐dislocations of the shoulders were reported most frequently (33%), followed by thoracic and lumbar vertebral compression fractures (29%), skull and jaw fractures (8%), and bilateral femoral neck fractures (6%). Risk factors for seizure‐related fractures are seizure severity, duration of epilepsy, the use of antiseizure drugs known to decrease bone density, and a family history of fractures. Based on these findings, a three‐step screening procedure is proposed to uncover fractures in the postictal state. All studies were retrospective without standardized screening methods for seizure‐associated fractures resulting in a very low level of evidence and a high risk of bias. Significance Posterior fracture‐dislocations of the shoulders, thoracic and lumbar vertebral compression, fractures of the skull and jaw, and bilateral femoral neck fractures are most frequently reported. Preventive measures including bone densitometry, calcium/vitamin D supplementation, and bisphosphonate therapy should be reinforced in epilepsy patients at risk of osteoporosis. As long as the effect of standardized screening of fractures is not investigated, it is too early to integrate such a screening into treatment guidelines. In the meantime, clinicians are urged to heighten awareness regarding seizure‐associated fractures, especially in patients with postictal pain, as symptoms can be unspecific and misinterpretation may impede rehabilitation.

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Section: Systematic Review Of the Literaturementioning

confidence: 99%

Bone fractures from generalized convulsive seizures and status epilepticus—A systematic review

et al. 2019

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“…The temporomandibular subluxation displayed by the postmortem whole-body CT scan could be explained by the man's fatal status epilepticus. It is reported that seizures may, albeit rarely, cause such an injury [24]. The presence of such an injury, much easier to diagnose radiologically than upon autopsy, might thus be used as a sign for death in status epilepticus.…”

Section: Discussionmentioning

confidence: 99%

Another umbrella murder? – A rare case of Minamata disease

Albers

Gies

Raatschen

et al. 2020

Forensic Sci Med Pathol

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We report a rare case of fatal intoxication in a 40-year-old man caused by injection of a fluid containing organic mercury, allegedly in an attack with a syringe fixed to the tip of an umbrella. The man suffered from severe neurological symptoms and progressive multiorgan failure and died 10 months later in refractory status epilepticus. Autopsy revealed severe brain atrophy and non-specific kidney damage. Neuropathological examination showed neuronal loss especially in the occipital lobe, distinct granule cell necrosis in the cerebellum and Wallerian degeneration in the brainstem. Postmortem toxicological analysis revealed extremely increased levels of mercury in liver and kidney tissue as well as methylmercury levels in peripheral blood.

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“…Temporomandibular joint (TMJ) dislocation due to seizure is rarely reported 1–5 . However, none of these seizures were recorded by long‐term video electroencephalography monitoring (LTVEM).…”

Section: Videomentioning

confidence: 99%

Temporomandibular joint dislocation during epileptic seizures in the epilepsy monitoring unit: A case report

Kubota,

Jin,

Honoki

et al. 2023

Epileptic Disorders

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Temporomandibular joint dislocation during status epilepticus

Cited by 7 publications

References 6 publications

Bone fractures from generalized convulsive seizures and status epilepticus—A systematic review

Bone fractures from generalized convulsive seizures and status epilepticus—A systematic review

Another umbrella murder? – A rare case of Minamata disease

Temporomandibular joint dislocation during epileptic seizures in the epilepsy monitoring unit: A case report

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