Journal de colonne vertébrale et de neurochirurgie

Anterior Shoulder Dislocation with Greater Tuberosity Fracture in a Todd’s Palsy: Case Report

Mehmet Seçer and An?l Gülcü

The postictal (Todd's) palsy a well-known complication of focal or generalized epileptic seizures. Orthopedic injuries can occur during epilepsy and seizures, such as fractures, dislocation. A 32-year-old male was brought to the emergency room after a generalized tonic-clonic seizure, and 2/5 hemiparesia was detected on the right. The lower extremity deficit resolved in the 36th hour of hospitalization of the patient who was thought to have Todd's palsy. However, due to the persistence of the deficit in the upper extremity, right shoulder anterior dislocation was detected in the orthopedic examination and radiology. It should be kept in mind that orthopedic injury may occur in a Todd paralyzed patient with hemiparesis or hemiplegia when improvement in one extremity does not occur in the other extremity.

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