Background: Musculoskeletal injury secondary to epileptic seizure can occur among patients during episode of seizure. It might be complicated with fractures or dislocations. Femoral neck fracture secondary to epileptic seizure has a rare incidence. Objective: This was a case report which had bilateral femoral neck fractures secondary to epilepsy with delay presentation. Patient was treated with bilateral hemiarthroplasty. Case report: 31 years old male smoker unemployed known to have epilepsy for 15 years using Valproic acid 500 mg BID with no complaint to his medication. He was complaining of bilateral hip pain with inability to bear weight that was missed by physicians at that time and the patient neglected his symptom. After more than 2 months, he came to Emergency Department with same symptoms where imaging showed bilateral femoral neck fractures. Conclusion: Bilateral femoral neck fracture secondary to epileptic seizure has a rare incidence. Physicians whether emergency physicians or orthopedic surgeons should consider it if the patient has any symptoms or signs of femoral neck fracture to avoid any complications and delay of management.