Abstract
Seizures are a common presenting complaint in acute medicine and post-ictal patients can pose a diagnostic challenge. Approximately 1% of patients presenting after a seizure will have sustained a fracture. Delayed diagnosis is common and can lead to worse functional outcomes. A case of occult bilateral neck of femur fracture secondary to seizure is presented together with a review of the literature.
[download-attachments container="div" style="list" dipslay_icon="1" display_count="1" display__size="0"]
References
- Desai KD, Ribban WJ et al. Incidence of five common fracture types in an institutional epileptic population. Injury 1996; 27: 97–100.
- Finelli PF, Cardi JK. Seizure as a cause of fracture. Neurology 1989; 39:858–60.
- Andreini G. [Unusual case of bilateral fracture of the neck of femur]. Arch Ortop. 1956; 69: 25–39.
- Madhok R, Rand JA. Ten year follow up study of missed, simultaneous, bilateral femoral-neck fractures treated by bipolar arthroplasties in a patient with chronic renal failure. Clin. Othop. 1993; 291: 185–7.
