Abrams Meryl, Magee Mark A, Risler Zachary, Lewiss Resa E, Au Arthur K
Emergency Medicine, Thomas Jefferson University, Philadelphia, USA.
Cureus. 2019 Jan 25;11(1):e3960. doi: 10.7759/cureus.3960.
It can be difficult to distinguish between syncope and seizure. Some stigmata of seizure include post-ictal period, tongue-biting or incontinence. A less common finding after a seizure is a posterior shoulder dislocation. Posterior shoulder dislocation is commonly missed and may be the only finding after a seizure, thus aiding in diagnosis. In this case report, we discuss the incidence of posterior shoulder dislocations and their utility in differentiating syncope from seizure, as well as the ability to diagnose and evaluate for proper reduction of posterior shoulder dislocations using ultrasound.
晕厥和癫痫发作有时很难区分。癫痫发作的一些体征包括发作后期、咬舌或大小便失禁。癫痫发作后较少见的一个表现是肩关节后脱位。肩关节后脱位常被漏诊,可能是癫痫发作后的唯一表现,因此有助于诊断。在本病例报告中,我们讨论了肩关节后脱位的发生率及其在鉴别晕厥和癫痫发作方面的作用,以及使用超声诊断和评估肩关节后脱位并进行适当复位的能力。