Late-diagnosed bilateral intertrochanteric femur fracture during an epileptic seizure

Although spontaneous and simultaneous bilateral hip fractures without trauma are seen rarely, epileptic seizures may lead to these fractures. We present an 82-year-old female patient with poor bone quality and a 20-year history of epilepsy. She had been using anticonvulsant drugs for almost 20 years. Following a convulsive epileptic attack, bilateral intertrochanteric femur fractures occurred (causing bilateral hip pain), which was diagnosed on the 12th day. An earlier pelvic anteroposterior roentgenogram would be helpful for early diagnosis. It should not be forgotten that bone fractures may be observed without trauma in epilepsy patients.

Epilepsi nöbeti sýrasýnda geliþmiþ geç taný konmuþ, iki taraflý intertrokanterik femur kýrýðý

Travma olmadan iki taraflý kalça kýrýklarý nadirdir, fakat epileptik nöbetler bu tip kýrýklara neden olabilir. Bu olgu sunumunda, 82 yaþýnda, kemik kalitesi kötü olan ve 20 yýllýk epilepsi hastasý olduðu bilinen bir kadýn olgu sunuldu. Hasta yaklaþýk 20 yýldýr antikonvülzan ilaçlar kullanmaktaydý; bir epilepsi ataðý sýrasýnda her iki kalçasýnda intertrokanterik femur kýrýðý oluþtuðu, fakat tanýnýn 12. gün sonra konulabildiði öðrenildi. Daha erken çekilen bir pelvis ön-arka grafisi erken taný için yardýmcý olabilirdi. Epilepsi hastalarýnda travma olmaksýzýn kýrýklar olabileceði akýlda tutulmalýdýr.