Med Bull Sisli Etfal Hosp. 2022; 56(4): 568-571 | DOI: 10.14744/SEMB.2022.48403

Bilateral Anterior Glenohumeral Dislocation Following Grand Mal Epileptic Seizure: A Case Report

Farid Samadov, Servin Rafi, Yusuf Sulek, Osman Tugrul Eren
Department of Orthopedics, University of Health Sciences Türkiye, Þiþli Hamidiye Etfal Training and Research Hospital, Istanbul, Türkiye

Bilateral simultaneous shoulder dislocations are very rare injuries. Majority of the cases in the literature are posterior shoulder dislocations due to widespread contractions seen in grand-map epileptic seizures, electrocutions, and electric shocks. The literature shows us that bilateral anterior shoulder dislocations are generally seen after trauma related injuries rather than subsequent to epileptic seizures. A 39-year-old male presented to the emergency department our clinic with bilateral anterior glenohumeral dislocation following grand mal epileptic seizure. The patient was treated conservatively with close reduction, Velpeau bandage, PT&R, and neurology consultation. Due to the bilateral displacement of patients shoulders and his age treatment was planned conservatively.

Keywords: Bilateral, Epileptic seizures anterior glenohumeral dislocation, Grand mal

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Grand Mal Epileptik Nöbet Sonrasý Bilateral Anterior Glenohumeral Dislokasyon, Olgu Sunumu

Farid Samadov, Servin Rafi, Yusuf Sulek, Osman Tugrul Eren
Saðlýk Bilimleri Üniversitesi, Þiþli Hamidiye Etfal Eðitim ve Araþtýrma Hastanesi, Ortopedi Kliniði, Ýstanbul, Türkiye

Bilateral eþ zamanlý omuz çýkýklarý çok nadir görülen yaralanmalardýr. Literatürdeki olgularýn çoðu grand mal epileptik nöbetler, elektrik çarpmalarý ve elektrik çarpmalarýnda görülen yaygýn kasýlmalara baðlý posterior omuz çýkýklarýdýr. Literatür bize bilateral anterior omuz çýkýklarýnýn epileptik nöbetlerden ziyade travmaya baðlý yaralanmalardan sonra görüldüðünü göstermektedir. 39 yaþýnda erkek hasta grand mal epileptik nöbet sonrasý bilateral anterior glenohumeral çýkýk ile acil servisimize baþvurdu. Hasta kapalý redüksiyon, Velpeau bandaj, FTR ve nöroloji konsültasyonu ile konservatif olarak tedavi edildi. Hastanýn omuzlarýnýn bilateral yer deðiþtirmesi ve yaþý nedeniyle tedavisi konservatif olarak planlandý. (SETB-2021-11-324)

Anahtar Kelimeler: Epileptik nöbetler, Anterior glenohumeral çýkýk, Bilateral, Grand mal

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