{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T12:46:33Z","timestamp":1769517993728,"version":"3.49.0"},"reference-count":11,"publisher":"BMJ","issue":"8","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,7,23]]},"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:p>Bilateral acetabular fractures following epileptic seizures are a rare but known occurrence in adults, with an 18.5% mortality rate. These fractures occurring post epileptic seizures have not been previously documented in children. We report a case of a 13-year-old boy who presented to hospital via ambulance following two violent generalised tonic\u2013clonic seizures in a postictal state, metabolically acidotic and a low haemoglobin. Acute abdomen was suspected and the patient underwent a CT scan which showed bilateral acetabular fractures with central dislocations of both femoral heads and free fluid in the abdomen. The patient underwent initial damage control intervention with insertion of bilateral distal femur skeletal traction. Definitive fixation of the acetabular fractures occurred 1\u2009week later with an open reduction internal fixation with novel supra-pectineal plates using a Pfannenstiel incision. We use this report to increase awareness of significant pelvic injuries in paediatric patients post epileptic seizures.<\/jats:p>","DOI":"10.1136\/bcr-2019-230143","type":"journal-article","created":{"date-parts":[[2019,8,22]],"date-time":"2019-08-22T05:17:24Z","timestamp":1566451044000},"page":"e230143","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Bilateral acetabular fractures induced by an epileptic seizure in a paediatric patient: a unique case and its management"],"prefix":"10.1136","volume":"12","author":[{"given":"Nusrat","family":"Mohamed","sequence":"first","affiliation":[{"name":"Orthopaedics, King\u2019s College Hospital NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stanislau","family":"Makaranka","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgery, University College London Hospitals NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kamalpreet","family":"Cheema","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgery, King\u2019s College Hospital NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Harnett","sequence":"additional","affiliation":[{"name":"Trauma & Orthopaedic Surgery, King\u2019s College Hospital NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,8,21]]},"reference":[{"key":"2025082712165298000_12.8.e230143.1","doi-asserted-by":"crossref","first-page":"e20","DOI":"10.4081\/ni.2009.e20","article-title":"Injuries in epilepsy: a review of its prevalence, risk factors, type of injuries and prevention","volume":"1","author":"Nguyen","year":"2009","journal-title":"Neurol Int"},{"key":"2025082712165298000_12.8.e230143.2","first-page":"1","article-title":"Literature review and clinical presentation of bilateral acetabular fractures secondary to seizure attacks","volume":"2012","author":"Nehme","year":"2012","journal-title":"Case Rep Orthop"},{"key":"2025082712165298000_12.8.e230143.3","doi-asserted-by":"publisher","DOI":"10.1046\/j.1528-1157.2002.15801.x"},{"key":"2025082712165298000_12.8.e230143.4","doi-asserted-by":"publisher","DOI":"10.1111\/j.0013-9580.2005.23804.x"},{"key":"2025082712165298000_12.8.e230143.5","doi-asserted-by":"publisher","DOI":"10.1007\/BF00433931"},{"key":"2025082712165298000_12.8.e230143.6","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0404.1999.tb00675.x"},{"key":"2025082712165298000_12.8.e230143.7","doi-asserted-by":"crossref","first-page":"767","DOI":"10.1056\/NEJM199503233321202","article-title":"Risk Factors for Hip Fracture in White Women","volume":"332","author":"Cummings","year":"1995","journal-title":"N Engl J Med Overseas Ed"},{"key":"2025082712165298000_12.8.e230143.8","doi-asserted-by":"crossref","first-page":"bcr2015211445","DOI":"10.1136\/bcr-2015-211445","article-title":"Seizure induced polytrauma; not just posterior dislocation of the shoulder","volume":"4","author":"Gill","year":"2015","journal-title":"BMJ Case Rep"},{"key":"2025082712165298000_12.8.e230143.9","doi-asserted-by":"crossref","unstructured":"De Melo \u00c1N , De MLL , Nobre RM . 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