{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:27:38Z","timestamp":1792787258050,"version":"4.5.0"},"reference-count":10,"publisher":"BMJ","issue":"10","license":[{"start":{"date-parts":[[2021,10,12]],"date-time":"2021-10-12T00:00:00Z","timestamp":1633996800000},"content-version":"unspecified","delay-in-days":11,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100006041","name":"Innovate UK","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100006041","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001677","name":"National Institute of Health and Medical Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001677","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100023699","name":"Health Data Research UK","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100023699","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Office of Life Sciences"},{"name":"NHSX"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,8,26]]},"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:p>Consumer virtual reality systems are becoming increasingly popular with the increasing availability of devices and gamified technologies. Self-sustained injury risks exist with the use of this technology in the uncontrolled home environment, however, the public awareness of these risks may not be recognised. We present a case of a low- impact virtual reality fall resulting in spinal cord injury, hypoglossal nerve injury, vertebral artery dissection and traumatic brain injury.<\/jats:p>","DOI":"10.1136\/bcr-2021-243424","type":"journal-article","created":{"date-parts":[[2021,10,12]],"date-time":"2021-10-12T17:34:05Z","timestamp":1634060045000},"page":"e243424","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":18,"title":["Neurological injury from virtual reality mishap"],"prefix":"10.1136","volume":"14","author":[{"given":"Natasha","family":"Warner","sequence":"first","affiliation":[{"name":"Neurorehabilitation, Wellington Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6899-8319","authenticated-orcid":false,"given":"James T","family":"Teo","sequence":"additional","affiliation":[{"name":"Neurology, King's College Hospital NHS Foundation Trust, London, UK"},{"name":"Institute of Psychiatry, Psychology and Neuroscience, Kings College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,10,12]]},"reference":[{"key":"2025082803241843000_14.10.e243424.1","unstructured":"Oregon State University . Virtual reality, real injuries: how to reduce physical risk in VR, 2020. ScienceDaily. Available: https:\/\/www.sciencedaily.com\/releases\/2020\/01\/200108092448.htm"},{"key":"2025082803241843000_14.10.e243424.2","unstructured":"Department for Business, Energy and Industrial strategy . The safety of domestic virtual reality systems, rpn 4527. [Internet], 2020. Available: https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/923616\/safety-domestic-vr-systems.pdf"},{"key":"2025082803241843000_14.10.e243424.3","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.67.5.691"},{"key":"2025082803241843000_14.10.e243424.4","first-page":"586","article-title":"Visual input: its importance in the control of postural sway","volume":"59","author":"Dornan","year":"1978","journal-title":"Arch Phys Med Rehabil"},{"key":"2025082803241843000_14.10.e243424.5","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0184552","article-title":"The essential role of optical flow in the peripheral visual field for stable quiet standing: evidence from the use of a head-mounted display","volume":"12","author":"Horiuchi","year":"2017","journal-title":"PLoS One"},{"key":"2025082803241843000_14.10.e243424.6","doi-asserted-by":"crossref","first-page":"41","DOI":"10.7205\/MILMED-D-11-00134","article-title":"Air assault soldiers demonstrate more dangerous landing biomechanics when visual input is removed","volume":"177","author":"Chu","year":"2012","journal-title":"Mil Med"},{"key":"2025082803241843000_14.10.e243424.7","doi-asserted-by":"crossref","unstructured":"Cunha B . Visual dependence after vestibular rehabilitation by virtual reality in individuals with unilateral peripheral vestibular dysfunction \u2013 one year of results. Eur J Public Health 2020;30.doi:10.1093\/eurpub\/ckaa040.028","DOI":"10.1093\/eurpub\/ckaa040.028"},{"key":"2025082803241843000_14.10.e243424.8","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2015\/916735","article-title":"Use of virtual reality tools for vestibular disorders rehabilitation: a comprehensive analysis","volume":"2015","author":"Bergeron","year":"2015","journal-title":"Adv Med"},{"key":"2025082803241843000_14.10.e243424.9","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200203000-00017"},{"key":"2025082803241843000_14.10.e243424.10","doi-asserted-by":"crossref","first-page":"100004","DOI":"10.1016\/j.diggeo.2020.100004","article-title":"Pay to play? subverting the digital economy of pok\u00e9mon go in the smart city","volume":"1","author":"Birtchnell","year":"2020","journal-title":"Digital Geography and Society"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-243424","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:24:30Z","timestamp":1756376670000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-243424"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10]]},"references-count":10,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2021,10,12]]},"published-print":{"date-parts":[[2021,10]]}},"alternative-id":["10.1136\/bcr-2021-243424"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-243424","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10]]}}}