PT  - JOURNAL ARTICLE
AU  - Ciaran M Hurley
AU  - Muhammad Nouman Baig
AU  - Simon Callaghan
AU  - Fergus Byrne
TI  - Cervical spine hangman fracture secondary to a gelastic seizure
AID  - 10.1136/bcr-2019-230733
DP  - 2019 Aug 01
TA  - BMJ Case Reports
PG  - e230733
VI  - 12
IP  - 8
4099  - http://casereports.bmj.com/content/12/8/e230733.short
4100  - http://casereports.bmj.com/content/12/8/e230733.full
SO  - BMJ Case Reports2019 Aug 01; 12
AB  - 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.