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Updated: May 10, 2025
Author Spotlight: Advancing Pediatric Epilepsy Surgery in Children Through Novel Biomarkers and Enhanced Localization
Published on: September 20, 2024
Recurrent shoulder instability in a patient with uncontrolled epileptic seizures: A decade-long clinical course
Soon-do Wang1, Sung-Joon Yoon1, Woo-Jong Kim1
1Department of Orthopaedic Surgery, Soonchunhyang University Hospital Cheonan, Cheonan, Republic of Korea.
Introduction:
Epileptic seizures can cause recurrent shoulder instability due to violent muscle contractions, often leading to glenoid bone loss. Proper seizure management and surgical intervention are crucial for stability.
Case Presentation:
A 24-year-old male with epilepsy experienced recurrent anterior shoulder dislocations despite prior Bankart repair and remplissage. Progressive glenoid bone loss necessitated an Eden-Hybinette procedure using an autologous iliac crest bone graft, successfully restoring stability.
Discussion:
Seizure-induced dislocations often require revision surgery. While Bankart repair may fail in epilepsy-related cases, the Eden-Hybinette procedure effectively addresses glenoid defects. Seizure control is key to preventing recurrence.
Conclusion:
This case underscores the importance of seizure management and the Eden-Hybinette procedure as a viable revision strategy for epilepsy-related recurrent shoulder instability.
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Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types: