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March 29, 2026Journal of Medical Case ReportsOpen Access

Painful and weak shoulder following a generalized seizure: a missed odontoid fracture causing central cord compression—a case report

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Authors

SMSachith MettanandaRPRavini PremaratnaMCManjula Caldera

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Overview

A case report shows odontoid fractures can cause significant complications in individuals after seizures, indicating the need for careful monitoring.

Key Points

  • To highlight the rarity and potential complications of odontoid fractures following generalized seizures.
  • Presented a case of a 72-year-old man with shoulder pain and weakness after seizures
  • Initially managed conservatively for postconvulsive symptoms
  • Re-evaluated one year later, revealing a nonunited odontoid fracture
  • Monitored for progression of neurological deficits and treatment outcomes
  • Patient experienced slow resolution of shoulder pain, but persistent neck movement restriction
  • Diagnosed with central cord syndrome after one year, leading to impaired hand dexterity
  • Underwent cranio-cervical fixation with significant neurological recovery within 2 weeks

Cite This Study

Mettananda et al. (2026) studied this question.

synapsesocial.com/papers/69c8c247de0f0f753b39c95dhttps://doi.org/10.1186/s13256-026-05961-9
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Clinical-Radiographic Dissociation of Type II Odontoid Fracture with Complex Features: A Case Report2026
  2. 2Sequential treatment of concomitant odontoid fracture and lower cervical fracture-dislocation: A case report2024
  3. 3Delayed Diagnosis of Bilateral Posterior Shoulder Fracture–Dislocation Following a Seizure: A Case Report2026
  4. 4Atraumatic Bilateral Anterior Shoulder Dislocation With Bilateral Greater Tuberosity Fractures Accompanied by the Diagnosis of Epilepsy: A Case Report2026
  5. 5Multiple back fractures as a result of the first seizure2024 · 1 citations