Epilepsy Related Shoulder Dislocation: Demographic and Clinical Analysis of 21 Patients

• Published in: Archives of Epilepsy 2016-01, Vol.22 (1), p.26-31
• Main Authors: Sinem AKKAŞ YAZICI, Ayşegül GÜNDÜZ, Şakir DELİL, Seher Naz YENİ
• Format: Article
• Language: English
• Subjects: epilepsy; epilepsy-related complications; joint instability; seizure; shoulder dislocation
• ISSN: 2792-0550
• DOI: 10.5505/epilepsi.2016.73644

Objectives:There are multiple consequences of epilepsy that impact quality of life. While psychiatric comorbidities are some of the most commonly studied aspects, orthopedic complications are less frequently documented. The focus of the present study was shoulder dislocation related to epilepsy, and, unlike that of previous studies, the aim was to identify epilepsy-dependent risk factors in the development of joint disability.Methods:Twenty-one patients of the Cerrahpaşa Faculty of Medicine epilepsy outpatient clinic were retrospectively identified as having had epilepsy-related shoulder dislocation between 1990 and 2013. Probable risk factors were evaluated in terms of demographic and clinical features. A report published by the International League Against Epilepsy (ILAE) in 2010 was used to classify seizure and epilepsy syndromes.Results:Median age at onset of epilepsy was 20 years, while median age at shoulder dislocation was 24. The seizure type that most commonly led to dislocation was bilateral convulsive (81%). Initial dislocations (IDs), those following any of the first 3 seizures, were identified in 45% of the population. Patients with ID tended to be older than those with late dislocation (LD) (p