Painful and weak shoulder following a generalized seizure: a missed odontoid fracture causing central cord compression—a case report
Odontoid fracture without direct trauma, although uncommon, must be suspected when a patient complains of severe pain in the neck and shoulder following a generalized tonic-clonic convulsion. A high index of suspicion and anticipated cervical immobilization are required to avoid devastating neurological complications.
Authors
- Sachith Mettananda (ORCID: https://orcid.org/0000-0002-0760-0418)
- Manjula Caldera (ORCID: https://orcid.org/0000-0001-9034-5341)
- Angappulige Upasena
- Ravini Premaratna
- Sachith Mettananda (ORCID: https://orcid.org/0000-0002-0760-0418)
- Kamal Gunarathne
Institutions
- University of Kelaniya (LK)
- Teaching Hospital Kandy (LK)
- Colombo North Teaching Hospital (LK)
- National Hospital of Sri Lanka (LK)
Publication Details
- Journal
- Journal of Medical Case Reports
- Published
- 2026-03-27
- DOI
- https://doi.org/10.1186/s13256-026-05961-9
- Primary Topic
- Spinal Fractures and Fixation Techniques
- Type
- article
- Field-Weighted Citation Impact
- 0.00