Bow hunter stroke, positional occlusion of vertebral artery, rotational occlusion of vertebral artery
Definitions
Vertebrobasilar insufficiency secondary to mechanical occlusion or stenosis of vertebral artery during head rotation due to fibrous band or bony prominence
IMAGING
General Features
CT Findings
Ultrasonographic Findings
Angiographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
Gross Pathologic & Surgical Features
CLINICAL ISSUES
Presentation
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Mori M et al: Bow-hunter's syndrome due to left C7 schwannoma in a patient with bilateral absence of the posterior inferior cerebellar artery. J Orthop Sci. 24(5):939-44, 2019
Patankar AP: Vertebro-basilar stroke due to bow-hunter syndrome: an unusual presentation of rotatory atlanto-axial subluxation in a fourteen year old. Br J Neurosurg. 1-3, 2019
Agarwal V et al: Microsurgical treatment of bowhunter's syndrome: 3-dimensional operative video. Oper Neurosurg (Hagerstown). 15(6):E83, 2018
Johnson SA et al: Rotational vertebral artery dissection secondary to anomalous entrance into transverse foramen. World Neurosurg. 108:998.e1-5, 2017
Grandhi R et al: Bowhunter's syndrome. BMJ Case Rep. 2015, 2015
Anaizi AN et al: Bow hunter's syndrome: the use of dynamic magnetic resonance angiography and intraoperative fluorescent angiography. J Neurosurg Spine. 20(1):71-4, 2014
Lu DC et al: Rotational vertebral artery occlusion-series of 9 cases. Neurosurgery. 67(4):1066-72; discussion 1072, 2010
Sugiu K et al: Endovascular treatment for bow hunter's syndrome: case report. Minim Invasive Neurosurg. 52(4):193-5, 2009
Whitmore RG et al: Bow hunter's syndrome caused by accessory cervical ossification: posterolateral decompression and the use of intraoperative Doppler ultrasonography. Surg Neurol. 67(2):169-71, 2007
Velat GJ et al: Intraoperative dynamic angiography to detect resolution of bow hunter's syndrome: technical case report. Surg Neurol. 66(4):420-3; discussion 423, 2006
Horowitz M et al: Bow hunter's syndrome in the setting of contralateral vertebral artery stenosis: evaluation and treatment options. Spine (Phila Pa 1976). 27(23):E495-8, 2002
Seki T et al: Anterior decompression of the atlantoaxial vertebral artery to treat bow hunter's stroke: technical case report. Neurosurgery. 49(6):1474-6, 2001
Matsuyama T et al: Bow hunter's stroke caused by a nondominant vertebral artery occlusion: case report. Neurosurgery. 41(6):1393-5, 1997
Matsuyama T et al: Comparison of C1-2 posterior fusion and decompression of the vertebral artery in the treatment of bow hunter's stroke. J Neurosurg. 86(4):619-23, 1997
Fox MW et al: Anterolateral decompression of the atlantoaxial vertebral artery for symptomatic positional occlusion of the vertebral artery. Case report. J Neurosurg. 83(4):737-40, 1995
Bow hunter stroke, positional occlusion of vertebral artery, rotational occlusion of vertebral artery
Definitions
Vertebrobasilar insufficiency secondary to mechanical occlusion or stenosis of vertebral artery during head rotation due to fibrous band or bony prominence
IMAGING
General Features
CT Findings
Ultrasonographic Findings
Angiographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
Gross Pathologic & Surgical Features
CLINICAL ISSUES
Presentation
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Mori M et al: Bow-hunter's syndrome due to left C7 schwannoma in a patient with bilateral absence of the posterior inferior cerebellar artery. J Orthop Sci. 24(5):939-44, 2019
Patankar AP: Vertebro-basilar stroke due to bow-hunter syndrome: an unusual presentation of rotatory atlanto-axial subluxation in a fourteen year old. Br J Neurosurg. 1-3, 2019
Agarwal V et al: Microsurgical treatment of bowhunter's syndrome: 3-dimensional operative video. Oper Neurosurg (Hagerstown). 15(6):E83, 2018
Johnson SA et al: Rotational vertebral artery dissection secondary to anomalous entrance into transverse foramen. World Neurosurg. 108:998.e1-5, 2017
Grandhi R et al: Bowhunter's syndrome. BMJ Case Rep. 2015, 2015
Anaizi AN et al: Bow hunter's syndrome: the use of dynamic magnetic resonance angiography and intraoperative fluorescent angiography. J Neurosurg Spine. 20(1):71-4, 2014
Lu DC et al: Rotational vertebral artery occlusion-series of 9 cases. Neurosurgery. 67(4):1066-72; discussion 1072, 2010
Sugiu K et al: Endovascular treatment for bow hunter's syndrome: case report. Minim Invasive Neurosurg. 52(4):193-5, 2009
Whitmore RG et al: Bow hunter's syndrome caused by accessory cervical ossification: posterolateral decompression and the use of intraoperative Doppler ultrasonography. Surg Neurol. 67(2):169-71, 2007
Velat GJ et al: Intraoperative dynamic angiography to detect resolution of bow hunter's syndrome: technical case report. Surg Neurol. 66(4):420-3; discussion 423, 2006
Horowitz M et al: Bow hunter's syndrome in the setting of contralateral vertebral artery stenosis: evaluation and treatment options. Spine (Phila Pa 1976). 27(23):E495-8, 2002
Seki T et al: Anterior decompression of the atlantoaxial vertebral artery to treat bow hunter's stroke: technical case report. Neurosurgery. 49(6):1474-6, 2001
Matsuyama T et al: Bow hunter's stroke caused by a nondominant vertebral artery occlusion: case report. Neurosurgery. 41(6):1393-5, 1997
Matsuyama T et al: Comparison of C1-2 posterior fusion and decompression of the vertebral artery in the treatment of bow hunter's stroke. J Neurosurg. 86(4):619-23, 1997
Fox MW et al: Anterolateral decompression of the atlantoaxial vertebral artery for symptomatic positional occlusion of the vertebral artery. Case report. J Neurosurg. 83(4):737-40, 1995