Bilateral fracture of the shoulders following epileptic seizures: a case report / Fratura bilateral de ombros após convulsões epilépticas: relato de caso
Rev. Soc. Bras. Clín. Méd
;
19(3): 181-183, set 2021.
Article
in English
| LILACS
| ID: biblio-1391952
ABSTRACT
Convulsive seizures caused by hyponatremia occur when this condition is severe and develops quickly, resulting in a brain's adaptive inability to contain brain swelling. Seizures are rarely the cause of shoulder fractures. This is a case report of bilateral humerus fracture following a single epileptic seizure caused by drug hyponatremia, an unconventional event in medical practice. A 69-year-old woman was admitted to the emergency room after a single tonic-clonic seizure with spontaneously ceased sphincter relaxation, showing Glasgow 6. No falls or restraint were reported by observers. When alert, the patient reported pain and difficulty moving both arms. During examination, the movement was li- mited to the right and left. Anteroposterior radiographs revealed bilateral fracture at the neck of humerus. To complement inves- tigation for further lesions, a computed tomography confirmed bilateral fracture-dislocation with impaction of the humeral head with the glenoid. Atraumatic bilateral fracture-dislocation of the humerus after epileptic seizure is a very rare event. It is believed that some of these diagnoses have been neglected due to the difficulty of characterizing the patient's pain in a postictal state. The importance of a detailed physical examination shall be emphasized in risk groups such as the polymedicated elderly.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Seizures
/
Shoulder Dislocation
/
Shoulder Fractures
/
Epilepsy, Tonic-Clonic
Type of study:
Diagnostic study
/
Etiology study
Limits:
Aged
/
Female
/
Humans
Language:
English
Journal:
Rev. Soc. Bras. Clín. Méd
Journal subject:
Therapeutics
Year:
2021
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Hospital Regional de São José/BR
/
Pontifícia Universidade Católica do Rio Grande do Sul/BR
/
Universidade do Sul de Santa Catarina/BR
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