Atraumatic bilateral humeral head fracture secondary to single seizure

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...

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