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.

Having a pre-existing MHD does not preclude patients with an SCI from benefiting from rehabilitation. These findings are an important basis on which to ensure equal access to rehabilitation for patients with a pre-existing MHD.