Perrson et al reported risk factors for extremity fractures in an adult outpatient with epilepsy. These can help identify a patient who may benefit from interventions to reduce the risk of seizures. The authors are from Karolinska Institute and the Stockholm Center of Public Health in Stockholm.


Patient selection: adult outpatient (age range 17 to 83)


Risk factors for an extremity fracture:

(1) male gender

(2) age >= 45 years of age

(3) duration of epilepsy < 3 years ("recently diagnosed")

(4) polytherapy with antiepileptic drugs

(5) generalized tonic-clonic seizures



• In the conclusion poor control of generalized tonic-clonic seizures is given as a risk factors and polytherapy a possible risk factor.


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