Abstract
Changes in blood pressure after carotid endarterectomy (CEA) may lead to the cerebral hyperperfusion syndrome (CHS), which might be accompanied by postoperative seizures. We report a case of a 71-year old man that underwent left CEA and developed a tonic-clonic seizure in the recovery room after hearing a familiar voice. Physical and radiological imaging revealed a massive rotator cuff tear and locked posterior shoulder dislocation of the right humerus with a large impaction fracture. He was successfully treated with a reverse shoulder arthroplasty and gained good functional results.
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