Shoulder dislocations following seizure are usually posterior, and can be disabling. Anterior dislocations following seizure are rare and more seldom are bilateral anterior fracture dislocations. Following proper assessment, this pathology can be treated surgically with good outcome. Case Report: A 40 year old male presenting with bilateral anterior fracture dislocations of the shoulder following a new onset seizure, was evaluated and xrays revealed a right 3 part fracture of the right proximal humerus with anterior dislocation and a left 4 part fracture of the proximal humerus with anterior dislocation. Subsequently had open reduction and internal fixation with the Proximal Humeral Interlocking System (PHILOS) plate, had rehabilitation and discharged with a satisfactory outcome. Bilateral anterior fracture dislocations following seizure disorder is a rare condition that warrants proper evaluation, treatment with the Philos plate and rehabilitation affords good outcome.