Spontaneous bilateral hip fractures following a seizure: a case report
Hüseyin Yercan, Taçkın Özalp, Aziz Vatansever, Güvenir Okçu, Uğur Öziç
Celal Bayar Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Anabilim Dalı, Manisa
Keywords: Anticonvulsants/adverse effects; bone diseases, metabolic/complications; epilepsy; femoral neck fractures/etiology/ surgery; fracture fixation, internal; hip fractures/surgery.
Abstract
Spontaneous bilateral hip fractures are very rare. They may occur secondary to several metabolic disorders. We report a 28-year-old male patient who developed spontaneous bilateral femoral neck fractures and a displaced intertrochanteric femoral fracture on the left. The fractures were thought to occur following an epileptic seizure and on the basis of osteomalacia associated with anticonvulsant treatment for long years. He was treated with open reduction and internal fixation. Union was documented in the postoperative third month. He was allowed to walk in the sixth month without any support. On control examination in the 18th month, he was found to perform all his daily activities without support, except for inherent limitations due to his blindness.