Seizure‐Related Injuries in Multihandicapped Patients with Therapy‐Resistant Epilepsy

Abstract

A prospective study on seizure-related injuries in Norway's two nursing homes for persons with epilepsy was conducted. Sixty-two multihandicapped patients with mostly difficult-to-treat epilepsy were assessed for 13 months: 6,889 seizures, 2,696 with ensuing falls, resulted in 80 injuries. The seizure-related injury risk was 1.2%. The most frequent injuries were mild soft tissue injuries with and without cuts. Six serious injuries were recorded: two leg fractures, one mandibular fracture, one neck of the femur fracture, one skull fracture, and one subdural hematoma. A 71-year-old woman with subdural hematoma died during operation for the hematoma. Seizure types most often causing injury were atonic and tonic-clonic seizures. Prophylactic measures can be taken. Because the seizure-induced injury risk was slight, we concluded that even persons with refractory epilepsy should be encouraged to lead active lives.

Sudden Unexplained Death and Injury in Epilepsy

“…Generalized tonic-clonic (GTC) seizures (especially generalized-onset) seem to be associated with a higher injury rate than other seizure types (1)(2)(3), although childhood absence seizures may increase the risk of injury (4). In addition, medication toxicity may produce ataxia that may lead to an increased risk of falls.…”

Abdominal Pain Caused by Bilateral Acetabular Fractures Secondary to an Epileptic Seizure Case Report and Review of the Literature

“…Seventy-nine percent of patients had an excellent or good outcome. Advancing age was associated with a progressive decrease in scores while younger patients had the highest scores [30][31][32][33][34][35][36][37][38][39][40].…”

Skader etter krampeanfall

“…De vanligste følgene var hodeskader, sårskader, brudd og hudavskrapninger -i den rekkefølgen (1). Nakken & Lossius rapporterte at 32 % av multifunksjonshemmede pasienter med epilepsi opplevde anfallsrelaterte skader i løpet av 13 måneder (2).…”