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Cervical spine hangman fracture secondary to a gelastic seizure
Ciaran M Hurley1, Muhammad Nouman Baig2, Simon Callaghan1
1Department of Trauma and Orthopaedic Surgery, Galway University Hospitals, Galway, Ireland.
Abstract:
A 42-year-old man reported to our service with a 1-week history of vague cervical neck pain on a background history of a gelastic seizure disorder. Radiological imaging confirmed a type II hangman's fracture through the C2 pedicle. A CT angiogram of carotid and vertebral arteries was normal, and the patient was managed with an occipitocervical fusion. The patient had no neurological insult and was discharged on day 5 with a Miami-J collar for 6 weeks. Although there are case report evidence of lumbar and thoracic vertebral fractures secondary to seizures, this is the first report of a spine injury resulting from a gelastic seizure.
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