Bilateral shoulder pain after a generalized tonic-clonic seizure: case report of an acute undiagnosed bilateral fracture of proximal humerus

Bilateral shoulder fracture is a rare event and convulsive epileptic seizure is one of the most common causes. Detailed physical and neurovascular examination are important but shoulder’s antero- posterior and axillary radiographs are essential to reveal a possible fracture and/or dislocation. Diagnosis could be difficult and often missed because of the importance given to patient’s neurological issue. We present a case of a young man with an acute undiagnosed bilateral fracture of proximal humerus as complication of a generalized tonic-clonic seizure. After seven days we performed a surgical procedure of bilateral reduction and osteosynthesis with angular stability plate and screws.