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Bilateral neck of femur fractures secondary to seizure
  1. Stephen A Brennan,
  2. Cathleen J O'Neill,
  3. Munir Tarazi,
  4. Ray Moran
  1. Department of Orthopaedic Surgery, Beaumont Hospital, Dublin, Ireland
  1. Correspondence to Stephen Brennan, Department of Orthopaedic Surgery, Beaumont Hospital, Dublin 9, Dublin, Ireland; stevobrennan{at}

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Bilateral neck of femur fractures are associated with high-energy trauma, electroconvulsive and pharamacoconvulsive therapy, and other convulsive seizures.

A 67-year-old woman with chronic renal failure developed a witnessed tonic–clonic seizure, lasting about 1 min. She was placed in the recovery position during the seizure and was not restrained. During the tonic phase, her hips were flexed and abducted. She sustained no external trauma during the seizure. On the fifth postseizure day, she was found to have bilateral subcapital neck of femur fractures (figure 1) and subsequently …

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