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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. 1Recommendations for Diagnosis and Treatment of Odontoid Fractures in Geriatric Patients2019 · 18 citations
  2. 2Paralysis of both arms from injury of the upper portion of the pyramidal decussation: “cruciate paralysis”1970 · 97 citations
  3. 3Case series on isolated type 2 odontoid fracture2020 · 2 citations
  4. 4Management of Type II Dens Fractures2000 · 187 citations
  5. 5DELAYED MYELOPATHY FOLLOWING ATLANTO-AXIAL DISLOCATION BY SEPARATED ODONTOID PROCESS1955 · 56 citations