Senocak E. Spontaneous bilateral femur neck fracture secondary to grand mal seizure: A case report. World J Clin Cases 2022; 10(30): 11111-11115 [PMID: 36338213 DOI: 10.12998/wjcc.v10.i30.11111]
Corresponding Author of This Article
Eyup Senocak, MD, Doctor, Department of Orthopedics and Traumatology, Erzurum City Hospital, Catyolu Caddesi Erzurum Sehir Hastanesi Ortopedi Klinigi, Erzurum 25144, Turkey. eyupsenocakmd@gmail.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Oct 26, 2022; 10(30): 11111-11115 Published online Oct 26, 2022. doi: 10.12998/wjcc.v10.i30.11111
Spontaneous bilateral femur neck fracture secondary to grand mal seizure: A case report
Eyup Senocak
Eyup Senocak, Department of Orthopedics and Traumatology, Erzurum City Hospital, Erzurum 25144, Turkey
Author contributions: Senocak E contributed to the writing and data analysis.
Informed consent statement: Informed written consent was obtained from the patient for the publication of this report and any accompanying images.
Conflict-of-interest statement: The author has no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Eyup Senocak, MD, Doctor, Department of Orthopedics and Traumatology, Erzurum City Hospital, Catyolu Caddesi Erzurum Sehir Hastanesi Ortopedi Klinigi, Erzurum 25144, Turkey. eyupsenocakmd@gmail.com
Received: June 4, 2022 Peer-review started: June 4, 2022 First decision: July 29, 2022 Revised: July 29, 2022 Accepted: September 20, 2022 Article in press: September 20, 2022 Published online: October 26, 2022
Abstract
BACKGROUND
Spontaneous bilateral femur neck fracture is a rare entity in the general population.
CASE SUMMARY
A 17-year-old immobile, developmentally delayed male with the sequelae of cerebral palsy fractured both femoral necks during a grand mal epileptic seizure. He had been treated with valproic acid as an antiseizure medication for about 10 years; otherwise, he had no history of drug use. The laboratory analysis was normal except a marked vitamin D deficiency. Closed reduction and osteosynthesis with percutaneous cannulated screws were performed. Solid union was observed at 6 mo, and rapid postoperative rehabilitation was started.
CONCLUSION
A femoral neck fracture may occur in a person with epilepsy presenting with hip pain in the emergency department.
Core Tip: Spontaneous bilateral femoral neck fracture is a very rare entity and may develop in association with metabolic diseases, bone diseases, high-energy traumas, and epileptic seizures. It should be predicted that complications such as nonunion, loss of reduction, and avascular necrosis may develop secondary to these fractures, which are theoretically considered to be associated with metabolic diseases.
