A case of nontraumatic acetabular fracture during epileptic seizure in an elderly patient: Imaging diagnosis and endovascular treatment

Acetabular fractures are usually caused by high-energy trauma, and seizure-induced cases resulting from strong muscle contractions are extremely rare. We report the case of a 90-year-old man with osteoporosis who incurred a nontraumatic acetabular fracture during a seizure. Computed tomography revealed an internal iliac artery injury, which was promptly treated with transcatheter arterial embolization. As such vascular injuries, though rare, require early diagnosis and treatment, radiologists must be aware of the associated imaging findings and management, particularly in cognitively impaired patients.