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Fractures of the mandibular condyle and neck are very common with well recognized anatomical features. This patient sustained an anatomically unusual right condylar head fracture with subluxation secondary to ictal myocontraction where there was no fall or facial trauma during or after the seizure. Investigation suggested an underlying disturbance in bone metabolism. We found one case report of mandibular stress fracture as a result of reflexive myo contraction of the temporalis and lateral pterygoid muscles in the literature. We conclude stress fractures resultant from ictal myo contractions are exceptionally rare without a covert disturbance in bone density. This report also applies to the recognition and treatment of patients at risk for bone fractures due to seizures: such as patients with osteomalacia, osteoporosis, chronic alcoholics, and elderly stroke victims.

A Metabolic Stress Fracture of the Mandibular Condylar Head