Kollerup I, Christensen G B
H:S Bispebjerg Hospital, neurologisk afdeling N.
Ugeskr Laeger. 2000 Mar 27;162(13):1889-90.
A 37 year-old man with bilateral shoulder fractures and posterior dislocation of one shoulder following a tonic-clonic seizure is presented. The seizure was most likely caused by alcohol withdrawal. The diagnosis was not suspected initially. X-ray and CT-scan led to the diagnosis. The relevant literature is reviewed with special focus on causes, trauma mechanisms, symptoms and signs and the pitfalls responsible for missing the diagnosis.
本文报告了一名37岁男性，在一次强直阵挛性癫痫发作后出现双侧肩部骨折及一侧肩关节后脱位。此次癫痫发作很可能是由酒精戒断引起的。最初并未怀疑该诊断。经X线和CT扫描后得以确诊。本文回顾了相关文献，特别关注其病因、创伤机制、症状体征以及导致漏诊的陷阱。
