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

32044785

DOI

10.2106/jbjs.cc.19.00190

For the public and Northwell Health campuses

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