Simultaneous Bilateral Femoral Neck Fractures in a Pediatric Patient Attributed to Epilepsy Convulsion: A Case Report.

Abstract

Bilateral femoral neck fractures are rare among children. Although several case reports have been published, fractures caused by epilepsy attacks in children have not been reported in the literature. This is the first report of simultaneous bilateral femoral neck fractures in a pediatric patient with epilepsy convulsions. This is a case of a child with bilateral femoral neck fractures caused by epileptic seizures. A 13-year-old Japanese boy had an epileptic seizure and was admitted to our hospital. The patient complained of bilateral thigh pain. Plain radiography revealed a bilateral femoral neck fracture. The patient's simultaneous bilateral femoral neck fractures were successfully managed with closed reduction and internal fixation, a careful postoperative course, and ultrasound fracture therapy. Despite the delay in diagnosis, bone union was confirmed 6 months postoperatively. Pediatric bilateral femoral neck fractures without a history of trauma are rare and likely to be missed. This case was a teachable experience highlighting the importance of being vigilant about fractures in children with postepileptic seizures.