Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Clinical Neuroradiology
Published in: Clinical Neuroradiology 4/2012

01-12-2012 | Correspondence

Bow Hunter’s Stroke Due to Prominent Degenerative Spinal Disorder

Authors: L. Andereggen, M.D., M. Arnold, M.D., R. H. Andres, M.D., A. Raabe, M.D., Ph.D., M. Reinert, M.D., J. Gralla, M.D. M.Sc.

Published in: Clinical Neuroradiology | Issue 4/2012

Login to get access

Excerpt

Symptomatic vertebrobasilar insufficiency resulting from neck rotation, also named bow hunter’s syndrome due to the rotated position of the patient’s head or neck when symptoms develop, most commonly occurs from temporary stenosis or occlusion of the vertebral artery (VA) at the C1 or C2 level [1‐4]. There are few cases of bow hunter’s syndrome caused by obstruction of the VA at the lower cervical levels between C3–C6 [5‐7]. This report illustrates the case of bow hunter’s syndrome at the level C5–C6 due to a degenerative osseous prominence in a woman presenting with acute ischemic stroke finally treated by surgical decompression. …
Literature
1.
Kuether TA, Nesbit GM, Clark WM. Rotational vertebral artery occlusion: a mechanism of vertebrobasilar insufficiency. Neurosurgery. 1997;41:427–32.PubMedCrossRef
2.
Morimoto T, Kaido T, Uchiyama Y, Tokunaga H, Sakaki T, Iwasaki S. Rotational obstruction of nondominant vertebral artery and ischemia. Case report. J Neurosurg. 1996;85:507–9.PubMedCrossRef
3.
Wakayama K, Murakami M, Suzuki M, Ono S, Shimizu N. Ischemic symptoms induced by occlusion of the unilateral vertebral artery with head rotation together with contralateral vertebral artery dissection—case report. J Neurol Sci. 2005;236:87–90.PubMedCrossRef
4.
Yang PJ, Latack JT, Gabrielsen TO, Knake JE, Gebarski SS, Chandler WF. Rotational vertebral artery occlusion at C1–C2. AJNR Am J Neuroradiol. 1985;6:96–100.PubMed
5.
Vates GE, Wang KC, Bonovich D, Dowd C F, Lawton MT. Bow hunter stroke caused by cervical disc herniation. Case report. J Neurosurg. 2002;96:90–3.PubMedCrossRef
6.
Dabus G, Gerstle RJ, Parsons M, Cross DT, Moran CJ, Thompson R, et al. Rotational vertebrobasilar insufficiency due to dynamic compression of the dominant vertebral artery by the thyroid cartilage and occlusion of the contralateral vertebral artery at C1–2 level. J Neuroimaging. 2008;18:184–7.PubMedCrossRef
7.
Miele VJ, France JC, Rosen CL. Subaxial positional vertebral artery occlusion corrected by decompression and fusion. Spine (Phila Pa 1976). 2008;33:E366–70.CrossRef
8.
S ugiu K, Agari T, Tokunaga K, Nishida A, Date I. Endovascular treatment for bow hunter’s syndrome: case report. Minim Invasive Neurosurg. 2009;52:193–5.PubMedCrossRef
9.
Vilela MD, Goodkin R, Lundin DA, Newell DW. Rotational vertebrobasilar ischemia: hemodynamic assessment and surgical treatment. Neurosurgery. 2005;56:36–43.PubMed
10.
Gomi M, Hattori I, Horikawa F, Iwasaki K. A case of bow hunter’s stroke treated with endovascular surgery. No Shinkei Geka. 2006;34:189–92.PubMed
11.
Natello GW, Carroll CM, Katwal AB. Rotational vertebrobasilar ischemia due to vertebral artery dynamic stenoses complicated by an ostial atherosclerotic stenosis. Vasc Med. 2009;14:265–9.PubMedCrossRef
12.
Hayashi K, Matsuo T, Kurihara M, Shibata S. A case of juvenile bow hunter’s stroke. No To Shinkei. 2000;52:431–4.PubMed
13.
Owolabi MO, Ogah OS, Ogunniyi A. Episodic vertigo resulting from vascular risk factors, cervical spondylosis and head rotation: two case reports. Neuropsychiatr Dis Treat. 2007;3:675–8.PubMed
14.
Nagashima C. Surgical treatment of vertebral artery insufficiency caused by cervical spondylosis. J Neurosurg. 1970;32:512–21.PubMedCrossRef
15.
Shimizu T, Waga S, Kojima T, Niwa S. Decompression of the vertebral artery for bow-hunter’s stroke. Case report. J Neurosurg. 1988;69:127–31.PubMedCrossRef
16.
Matsuyama T, Morimoto T, Sakaki T. Usefulness of three-dimensional CT for bow hunter stroke. Acta Neurochir (Wien). 1997;139:265–6.CrossRef
17.
Matsuyama T, Morimoto T, Sakaki T. Comparison of C1–2 posterior fusion and decompression of the vertebral artery in the treatment of bow hunter’s stroke. J Neurosurg. 1997;86:619–23.PubMedCrossRef
18.
Mapstone T, Spetzler RF. Vertebrobasilar insufficiency secondary to vertebral artery occlusion from a fibrous band. Case report. J Neurosurg. 1982;56:581–3.PubMedCrossRef
19.
Fischer S, Schul C, Lanzer P, Henkes H. Cervical vertebral artery dissection and recurrent in-stent stenosis due to C6/7 foraminal spondylosis. Clin Neuroradiol. 2010;20:117–21.PubMedCrossRef
20.
Mehran R, Dangas G, Abizaid AS, Mintz GS, Lansky AJ, Satler LF, et al. Angiographic patterns of in-stent restenosis: classification and implications for long-term outcome. Circulation. 1999;100:1872–8.PubMedCrossRef
21.
Sullivan HG, Harbison JW, Vines FS, Becker D. Embolic posterior cerebral artery occlusion secondary to spondylitic vertebral artery compression. Case report. J Neurosurg. 1975;43:618–22.PubMedCrossRef
22.
Berguer R, Morasch MD, Kline RA. A review of 100 consecutive reconstructions of the distal vertebral artery for embolic and hemodynamic disease. J Vasc Surg. 1998;27:852–9.PubMedCrossRef
Metadata
Title
Bow Hunter’s Stroke Due to Prominent Degenerative Spinal Disorder
Authors
L. Andereggen, M.D.
M. Arnold, M.D.
R. H. Andres, M.D.
A. Raabe, M.D., Ph.D.
M. Reinert, M.D.
J. Gralla, M.D. M.Sc.
Publication date
01-12-2012
Publisher
Springer-Verlag
Published in
Clinical Neuroradiology / Issue 4/2012
Print ISSN: 1869-1439
Electronic ISSN: 1869-1447
DOI
https://doi.org/10.1007/s00062-012-0154-1

Other articles of this Issue 4/2012

Clinical Neuroradiology 4/2012 Go to the issue

Editorial

Editorial

Review Article

Pipeline Embolization Device for Intracranial Aneurysm: A Systematic Review

Clinical Case

Freiburg Neuropathology Case Conference: Widespread Mass Lesions After Resection of a Glioblastoma Multiforme

OriginalPaper

Magnetic Resonance Imaging in Transient Global Amnesia

Correspondence

Painful Tic Convulsif Caused by an Arteriovenous Malformation

Correspondence

Isolated Pons Involvement in Posterior Reversible Encephalopathy Syndrome in a Patient with Chronic Renal Insufficiency: Case Report and Literature Review