Wu W Q, Fritzlen T
Surg Neurol. 1976 Jun;5(6):333-5.
Subluxation of the cervical spine either with or without neurologic involvement as a result of epileptic seizure is a rare occurrence. Most of the literature reviewed deals with compression fractures of the spine effected by metrazol-induced convulsions or electroshock therapy for major psychosis. Of further interest in this case is the presumptive diagnosis of a cerebral lesion due to schistosomiasis as the cause of the seizure which produced the cervical subluxation with neurologic changes. The subluxation was reduced and stabilized by inter-body fusion.
癫痫发作导致的颈椎半脱位，无论有无神经受累，都是一种罕见的情况。所查阅的大多数文献涉及由戊四氮诱发惊厥或电休克疗法治疗重度精神病所导致的脊柱压缩性骨折。该病例中，因血吸虫病导致脑部病变被推测为癫痫发作的原因，而此次癫痫发作造成了伴有神经改变的颈椎半脱位，这一点更值得关注。通过椎间融合术使半脱位得到了复位和固定。
