Bilateral spontaneous anterior shoulder dislocation： A missed orthopedic injury mistaken as proximal neuropathy

作     者：Khalil Ahmad Saeed Bin Ayaz Heyyan Bin Khalil Sumeera Matee 

作者机构：Department of Electrodiagnostic Studies Armed Forces Institute of Rehabilitation Medicine Rawalpindi 46000 Punjab Pakistan Department of Rehabilitation Medicine Combined Military Hospital Quetto and Quetta Institute of Medical Sciences Quetta 87300 Baluchistan Pakistan Army Medical College Rawalpindi 46000 Punjab Pakistan 

出 版 物：《Chinese Journal of Traumatology》 (中华创伤杂志（英文版）)

年 卷 期：2017年第20卷第6期

页      面：370-372页

核心收录：

学科分类：10[医学] 

主　　题：Anterior shoulder dislocation Electrodiagnosis Muscle wasting Proximal neuropathy 

摘      要：A number of orthopedic injuries can occur during epileptic seizures. Anterior shoulder dislocation is one such orthopedic injury that is quite rare. The shoulder dislocation may injure the brachial plexus. Besides seizures, the nerves can also be damaged by anticonvulsive therapy. Muscle wasting following a seizure can misguide a clinician to investigate only neural or muscular pathologies. We report here an individual with epilepsy who was referred to us for electrodiagnostic evaluation of proximal muscle wasting related to a suspected proximal neuropathy. He was found to have a normal electrodiagnostic evaluation and later on discovered to have had bilateral shoulder dislocation on X-rays. This report advocates a thorough clinical appraisal, radiographs, and electrodiagnostic evaluation in a case with muscle wasting following a seizure.