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BMJ Case Reports 2017; doi:10.1136/bcr-2017-221868
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Atraumatic bilateral humeral head fracture secondary to single seizure

  1. Khurram A Siddiqui4
  1. 1Department of Medicine, Al Ain Hospital, Al Ain, United Arab Emirates
  2. 2Department of Neurology, Al Ain Hospital, Al Ain, United Arab Emirates
  3. 3Department of Radiology, Al Ain Hospital, Al Ain, United Arab Emirates
  4. 4Department of Neurology, Al Ain Hospital, Al Ain, United Arab Emirates
  1. Correspondence to Dr Khurram A Siddiqui, neurology.khurram{at}yahoo.co.uk
  • Accepted 25 October 2017
  • Published 9 November 2017

Description

Case 1: A 51-year-old man presented with a single unprovoked generalised tonic clonic seizure (GTCSz), lasting for 4 min, he developed postseizure bilateral shoulder pain and was unable to move his arms as they were painful; there was a history of seizure 7 years ago, he was not on any antiepileptic drugs (AEDs). His sX-ray shoulder showed bilateral comminuted humeral head fracture, which was confirmed by CT of shoulders, see figure 1.He was started on AEDs from a seizure perspective. His neuroimaging, which included an MRI brain (epilepsy protocol) and electroencephalogram (EEG), were normal, see figure 1. From a shoulder management perspective, he was transferred to an orthopaedic surgeon which resulted in corrective surgery.

Figure 1

X-ray and CT of shoulders showing bilateral comminuted humeral head fracture and fracture fragment displacement.

Case 2: A 65-year-old man presented with first seizure of his lifetime, GTCSz, lasting for 3 min, developed postseizure bilateral …

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