Type-III Hangman's fracture combined with serious cerebrovascular injury after near-hanging: a first case report and review of the literature

Abstract Cervical fractures are rare after non-judicial hangings. Type-III Hangman’s fracture (HF) is an unstable injury caused typically by motor vehicle accidents or falls. We describe the first reported case of a Type-III HF combined with occlusion of the right vertebral artery and non-occlusive dissection of both internal carotid arteries caused by near-hanging. We performed a posterior approach open reduction of dislocated C2 facets and C1 to C3 fusion. Carotid dissections were managed conservatively with long-term antiplatelet therapy. The patient survived without any neurological deficit and without any significant restriction of cervical motion.

• Publication year

  2019

• Venue

  British Journal of Neurosurgery

• Publication date

  2019-09-28

• Fields of study

  Medicine

• Identifiers
  DOI 10.1080/02688697.2019.1671952PMID 31566025
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

• Management of Typical and Atypical Hangman's Fractures

  2015influential reference
• Anterior discectomy/corpectomy and fusion with internal fixation for the treatment of unstable hangman's fractures: a retrospective study of 38 cases.

  2015cited by this paper
• Traumatic bilateral carotid artery dissection following severe blunt trauma: a case report on the difficulties in diagnosis and therapy of an often overlooked life-threatening injury

  2015cited by this paper
• Cervical spine injuries in suicidal hanging without a long-drop—patterns and possible underlying mechanisms of injury: an autopsy study

  2014cited by this paper
• Cervical Carotid Artery Dissection: Current Review of Diagnosis and Treatment

  2012cited by this paper
• Hangman's fracture: a historical and biomechanical perspective.

  2011cited by this paper
• Cause of death in judicial hanging: a review and case study

  2009cited by this paper
• Treatment for blunt cerebrovascular injuries: equivalence of anticoagulation and antiplatelet agents.

  2009cited by this paper
• Outcome of cervical near-hanging injuries.

  2009cited by this paper
• Hangman’s Fracture: A Biomechanical Comparison of Stabilization Techniques

  2007cited by this paper
• Near-hanging injuries: a 10-year experience.

  2006cited by this paper
• Acute injuries of the axis vertebra

  2004cited by this paper
• Near-hanging

  2002cited by this paper
• Posterior C1–C2 Fusion With Polyaxial Screw and Rod Fixation

  2001cited by this paper
• Patient presentation, angiographic features, and treatment of strangulation-induced bilateral dissection of the cervical internal carotid artery. Report of three cases.

  2000cited by this paper
• The devastating potential of blunt vertebral arterial injuries.

  2000cited by this paper
• Acute Axis Fractures: Analysis of Management and Outcome in 340 Consecutive Cases

  1997cited by this paper
• The Pathology Of Hanging Deaths In Western Australia

  1996cited by this paper
• Emergency airway management in hanging victims.

  1994cited by this paper
• Treatment of Lower Cervical Spinal Injuries—C3 to C7

  1992cited by this paper
• Near-fatal suicidal hanging.

  1989cited by this paper
• The management of traumatic spondylolisthesis of the axis.

  1985influential reference
• Fractures of the ring of the axis. A classification based on the analysis of 131 cases.

  1981cited by this paper
• "HANGMAN'S FRACTURE" OF THE CERVICAL SPINE.

  1965influential reference
• THE IDEAL LESION PRODUCED BY JUDICIAL HANGING.

  1913cited by this paper

• Neck vascular lesions in hanging cases: A literature review.

  2021cites this paper