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.
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 seizurepatients, and the use of appropriate advanced imaging.
Authors: Marcantonio V Pinci; Norberto J Torres-Lugo; José Acosta-Julbe; David Deliz-Jimenez; Antonio Otero-López; Alberto Criado Journal: Arthroplast Today Date: 2022-10-11
Authors: Vasileios K Mousafeiris; Anastasia Vasilopoulou; George D Chloros; Michalis Panteli; Peter V Giannoudis Journal: Indian J Orthop Date: 2022-01-08 Impact factor: 1.033