{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T00:07:08Z","timestamp":1768435628924,"version":"3.49.0"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2014,12,3]],"date-time":"2014-12-03T00:00:00Z","timestamp":1417564800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/3.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2015,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2014.12.003","type":"journal-article","created":{"date-parts":[[2014,12,12]],"date-time":"2014-12-12T21:17:45Z","timestamp":1418419065000},"page":"107-110","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":20,"title":["Bilateral femoral neck fractures after an epileptic attack"],"prefix":"10.1097","volume":"6","author":[{"given":"T.","family":"Cag\u0131rmaz","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Yapici","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. M.","family":"Orak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"O.","family":"Guler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-31-20260114","doi-asserted-by":"crossref","first-page":"1073","DOI":"10.1016\/S0020-1383(03)00190-6","article-title":"Simultaneous bilateral fractures of the femoral neck in children-mechanism of injury","volume":"35","author":"Upadhyay","year":"2004","journal-title":"Injury"},{"key":"R2-31-20260114","doi-asserted-by":"crossref","first-page":"628","DOI":"10.1007\/s00776-006-1070-5","article-title":"Absence of osteonecrosis of the femoral head following, the high degree of bilateral femoral neck fracture with displacement","volume":"11","author":"Fujita","year":"2006","journal-title":"J. Orthop. Sci"},{"key":"R3-31-20260114","first-page":"185","article-title":"Ten-year follow-up study of missed, simultaneous, bilateral femoral-neck fractures treated by bipolar arthroplasties in a patient with chronic renal failure","volume":"291","author":"Madho","year":"1993","journal-title":"Clin. Orthop. Relat. Res"},{"key":"R4-31-20260114","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1007\/s002640050377","article-title":"Fractures due to hypocalcemic convulsion","volume":"23","author":"Gur","year":"1999","journal-title":"Int. Orthop"},{"key":"R5-31-20260114","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1136\/bjsm.31.1.70","article-title":"Displaced stress fracture of the femoral neck in an active amenorrhoeic adolescent","volume":"31","author":"Haddad","year":"1997","journal-title":"Brit. J. Sports Med"},{"key":"R6-31-20260114","doi-asserted-by":"crossref","first-page":"536","DOI":"10.1302\/0301-620X.67B4.4040914","article-title":"Hipocalcemic bilateral fracture of the femoral neck during a convulsion","volume":"67B","author":"Taylor","year":"1985","journal-title":"J. Bone Joint Surg. Br"},{"key":"R7-31-20260114","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1302\/0301-620X.42B2.236","article-title":"Simultaneous bilateral fractures of the neck of the femur","volume":"42B","author":"Powell","year":"1960","journal-title":"J. Bone Joint Surg. Br"},{"key":"R8-31-20260114","doi-asserted-by":"crossref","first-page":"728","DOI":"10.1302\/0301-620X.47B4.728","article-title":"Stress fracture of the femoral neck","volume":"47B","author":"Devas","year":"1965","journal-title":"J. Bone Joint Surg. Br"},{"key":"R9-31-20260114","doi-asserted-by":"crossref","first-page":"43","DOI":"10.3109\/17453675908988784","article-title":"Fatigue fractures of the lower extremities: one of bilateral cases of bilateral fatigue fracture of the collum femoris","volume":"29","author":"Rengman","year":"1959","journal-title":"Acta Orthop"},{"key":"R10-31-20260114","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1016\/j.seizure.2007.11.020","article-title":"Bone health in people with epilepsy: is it impaired and what are the risk factors?","volume":"17","author":"Pack","year":"2008","journal-title":"Seizure"},{"key":"R11-31-20260114","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1097\/00003086-198705000-00009","article-title":"Hook-pin fixation in femoral neck fractures","volume":"218","author":"Str\u00f6mqvist","year":"1987","journal-title":"Clin. Orthop. Relat. Res"},{"key":"R12-31-20260114","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1097\/00003086-199110000-00026","article-title":"Femoral neck fractures","volume":"271","author":"Shih","year":"1991","journal-title":"Clin. Orthop. Relat. Res"},{"key":"R13-31-20260114","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1016\/S0020-1383(02)00367-4","article-title":"Patients with Long-term outcome of avascular necrosis, after internal fixation of femoral neck fractures","volume":"34","author":"Nikolopulos","year":"2003","journal-title":"Injury"},{"key":"R14-31-20260114","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1097\/00003086-200104000-00024","article-title":"Prediction of osteonecrosis after femoral neck fractures by magnetic resonance imaging","volume":"385","author":"Kawasaki","year":"2001","journal-title":"Clin. Orthop. Relat. Res"},{"key":"R15-31-20260114","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1097\/00003086-198805000-00012","article-title":"The displaced femoral neck fracture","volume":"230","author":"Bray","year":"1988","journal-title":"Clin. Orthop. Relat. Res"},{"key":"R16-31-20260114","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1007\/s00402-003-0579-8","article-title":"Surgical treatment of displaced stress fractures of the femoral neck in military recruits: a report of 42 cases","volume":"123","author":"Lee","year":"2003","journal-title":"Arch. Orthop. Trauma. Surg"},{"key":"R17-31-20260114","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1186\/1754-9493-3-15","article-title":"Spine imaging after lumbar disc replacement: pitfalls and current recommendations","volume":"3","author":"Robinson","year":"2009","journal-title":"Patient Saf. Surg"},{"key":"R18-31-20260114","first-page":"379","article-title":"Magnetic resonance imaging evaluation of the spine with metal implants. General safety and superior imaging with titanium","volume":"18","author":"Rupp","year":"1993","journal-title":"Spine (PhilaPa 1976"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261214004337?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261214004337?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/01612930-201506000-00031","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:32:58Z","timestamp":1768397578000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01612930-201506000-00031"}},"subtitle":["A case report"],"short-title":[],"issued":{"date-parts":[[2015,1]]},"references-count":18,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2015]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2014.12.003","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2015,1]]}}}