Hurley Ciaran M, Baig Muhammad Nouman, Callaghan Simon, Byrne Fergus
Department of Trauma and Orthopaedic Surgery, Galway University Hospitals, Galway, Ireland.
Trauma & Orthopaedics, Galway University Hospitals, Galway, Ireland.
BMJ Case Rep. 2019 Aug 26;12(8):e230733. doi: 10.1136/bcr-2019-230733.
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.
一名42岁男性因有1周的颈部模糊疼痛病史前来就诊，其既往有痴笑发作性癫痫病史。影像学检查证实为经C2椎弓根的II型绞刑者骨折。颈动脉和椎动脉的CT血管造影正常，患者接受了枕颈融合术治疗。患者无神经损伤，于第5天出院，佩戴迈阿密-J颈托6周。虽然有病例报告证据表明癫痫继发腰椎和胸椎骨折，但这是首例因痴笑发作导致脊柱损伤的报告。
