Bilateral femoral neck fractures after an epileptic attack: A case report

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dc.authorid0000-0002-0022-0439
dc.contributor.authorÇağırmaz, Talat
dc.contributor.authorYapıcı, Can
dc.contributor.authorOrak, Mehmet Müfit
dc.contributor.authorGüler, Olcay
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:56:57Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:56:57Z
dc.date.issued2015
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalı
dc.descriptionWOS: 000397094300031
dc.descriptionPubMed ID: 25528038
dc.description.abstractINTRODUCTION: Bilateral femoral neck fractures can occur due to high-or low-energy trauma, in the presence of various predisposing factors, such as osteoporosis, renal osteodystrophy, hypocalcemic seizures, primary or metastatic tumors, electroconvulsive therapy, epileptic seizures, and hormonal disorders. PRESENTATION OF CASE: This report presents a case of bilateral femoral neck fractures that occurred during an epileptic attack in a 24-year-old male with mental retardation. His complaints had started after a grand mal epileptic attack 10 days earlier. Bilateral displaced femoral neck fractures (Garden type 4) were seen in lateral radiographs of both hips. The patient was operated on urgently, with closed reduction, three stainless steel cannulated screws, and internal fixation applied to both hips. At postoperative week 12, solid joining was achieved and active walking with complete loading was started. DISCUSSION: Bilateral femoral neck fractures can occur following a grand mal epilepsy attack in young patients. The use of antiepileptic drugs can also lead to the development of pathological fractures by reducing bone mineral density. CONCLUSION: Femoral neck fractures should be suspected in patients with epilepsy who present with severe pain in both hips and an inability to walk. Stainless steel implants can be used for treatment. The viability of the femoral head should be evaluated by scintigraphy. Bone mineral density should be monitored in patients who use anti-epileptic drugs, and internal fixation is preferred in the treatment of femoral neck fractures.
dc.identifier.citationÇağırmaz, T., Yapıcı, C., Orak, M. ve Güler, O. (2015). Bilateral femoral neck fractures after an epileptic attack: A case report. International Journal of Surgery Case Reports, 6, 107-110. https://dx.doi.org/10.1016/j.ijscr.2014.12.003
dc.identifier.doi10.1016/j.ijscr.2014.12.003
dc.identifier.endpage110
dc.identifier.issn2210-2612
dc.identifier.scopusqualityQ3
dc.identifier.startpage107
dc.identifier.urihttps://dx.doi.org/10.1016/j.ijscr.2014.12.003
dc.identifier.urihttps://hdl.handle.net/20.500.12511/2859
dc.identifier.volume6
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier
dc.relation.ispartofInternational Journal of Surgery Case Reportsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution-NonCommercial-ShareAlike 3.0 Unported*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by-nc-sa/3.0/*
dc.subjectFemoral Neck Fractures
dc.subjectEpilepsies
dc.subjectMyoclonic
dc.subjectFractures
dc.subjectSpontaneous
dc.titleBilateral femoral neck fractures after an epileptic attack: A case report
dc.typeArticle

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