Bilateral Acetabular Fractures Associated with Seizures: A Report of 2 Cases.
Publication Date
2020
Journal Title
JBJS Case Connect
Abstract
CASES:Two elderly women with significant medical comorbidities presented to a community hospital setting after new-onset generalized seizure activity while in bed without a history of trauma. Both were diagnosed by computed tomography scan with bilateral acetabular fractures. Owing to altered mental status from a postictal period, both were unable to be reliably assessed for pain, which resulted in a diagnostic delay. CONCLUSIONS:These cases highlight the importance of a proper secondary survey on mentally altered patients even without a history of significant trauma, a high index of suspicion for associated injuries in seizure patients, and the use of appropriate advanced imaging.
Volume Number
10
Issue Number
1
Pages
e0190
Document Type
Article
Status
Faculty, Northwell Resident
Facility
School of Medicine; Northwell Health
Primary Department
Orthopedic Surgery
PMID
DOI
10.2106/jbjs.cc.19.00190