Bow hunter's syndrome (BHS) is a rare cause of vertebrobasilar insufficiency that occurs when the vertebral artery (VA) is occluded on rotation of the head and neck. This dynamic occlusion of the VA can occur anywhere along its course after it arises from the subclavian artery. Although most cases are associated with compression by osteophytes, cervical spondylosis, or lateral disc herniation, BHS has a highly variable clinical course that depends on the patient's specific anatomy. Therefore, it may be important for clinicians to be aware of anatomical variants that predispose individuals to BHS. Here, we report on a patient with BHS who was found to have two uncommon anatomical anomalies: an atretic right VA and a left-sided arcuate foramen.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5551958 | PMC |
| http://dx.doi.org/10.1016/j.radcr.2017.04.001 | DOI Listing |
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Article Synopsis
- Bow hunter's stroke (BHS) occurs when the vertebral artery gets compressed during head rotation, leading to temporary neurological issues and a risk of stroke.
- A case study of a 25-year-old woman who developed multiple cerebral infarctions after sleeping with her head rotated showed that her vertebral artery was affected by this position.
- The treatment involved a surgical procedure to stabilize the cervical vertebrae, which successfully prevented further incidents, highlighting the importance of considering sleep position in similar cases.
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