Cervical Spinal Fracture Caused by Untreated Tourette Syndrome: A Case Report

• Published in: Korean journal of neurotrauma Vol. 16; no. 2; pp. 292 - 298
• Main Authors: Kim, Changgon, Choi, Byeong sam, Kim, Hae Yu, Lee, Sungjoon
• Format: Journal Article
• Language: English
• Published: Korea (South) Korean Neurotraumatology Society 01.10.2020; 대한신경손상학회
• Subjects: Case Report; 신경외과학; Myelopathy; Spinal fractures; Tourette syndrome; Cervical vertebrae; Tic disorders
• ISSN: 2234-8999; 2288-2243
• DOI: 10.13004/kjnt.2020.16.e23

Cervical myelopathy can occur in Tourette syndrome patients with severe motor tics showing repetitive and violent neck movements. However, motor tics causing spinal fractures have been rarely reported. A 15-year-old girl presented at our clinic, complaining of recent development of motor weakness of all 4 extremities. She had untreated motor tics involving the neck. Computed tomography and magnetic resonance imaging findings suggested cervical spinal fractures and myelopathy. After diagnosing of Tourette syndrome, medical and psychologic therapies were started. Her motor tics were well controlled, and no complications in the patient's daily life were observed later. Cervical radiography taken at a 9-month follow-up showed bony healings of the fractured cervical spines. Uncontrolled severe motor tics may cause spinal fractures. Conservative treatments would suffice for proper control of these tics and stabilize the spine, and considered as initial treatment in patients with Tourette syndrome.