Abstract:
BACKGROUND:Bow hunter's syndrome (BHS) or rotational vertebral artery occlusion is a rare syndrome of vertebrobasilar insufficiency due to compression or occlusion of the contralateral vertebral artery with cervical axial rotation. Compression at the C2-C3 level, the junction between the axial and subaxial spine, has not been described. Management can include medical treatment with antiplatelet medications, surgical fusion, or vertebral artery decompression. CASE DESCRIPTION:The patient presented with dizziness and loss of consciousness with axial head rotation to the left. Dynamic digital subtraction angiography revealed occlusion of the right vertebral artery with the head turning to the left, with concurrent symptom onset. The left vertebral artery largely ended in the posterior inferior cerebellar artery. The patient underwent C2-C3 anterior cervical discectomy and fusion without vertebral artery decompression. His postoperative course was uneventful, with complete symptom resolution. Follow-up dynamic angiography demonstrated a patent right vertebral artery with axial head rotation to the left. CONCLUSIONS:This case report demonstrates that even high cervical etiology for BHS can be successfully managed from an anterior approach. At present, no consensus has been reached for the treatment of BHS. A review of the current data demonstrated that anterior approaches without decompression are slightly safer than posterior approaches, with a smaller risk of vertebral artery injury. Depending on the anatomic variant and the pathophysiology of vertebral compression, an anterior approach without decompression provides a feasible alternative for the treatment of symptomatic BHS.
journal_name
World Neurosurgjournal_title
World neurosurgeryauthors
Schunemann V,Kim J,Dornbos D 3rd,Nimjee SMdoi
10.1016/j.wneu.2018.07.129subject
Has Abstractpub_date
2018-10-01 00:00:00pages
284-289eissn
1878-8750issn
1878-8769pii
S1878-8750(18)31607-3journal_volume
118pub_type
杂志文章,评审abstract:OBJECTIVE:The relationship between urgent decompression and neurologic recovery for traumatic spinal cord injury (TSCI) remains controversial. This meta-analysis was conducted to determine the beneficial effects of surgery within 8 hours for patients with TSCI. METHODS:A systematic search in EMBASE, MEDLINE, Cochrane ...
journal_title:World neurosurgery
pub_type: 杂志文章,meta分析
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abstract:OBJECTIVE:Spinal dural arteriovenous fistulas (SDAVFs) are rare vascular spinal malformations. According to the reported data, surgery seems to result in better occlusion rates than endovascular treatment. However, the post-treatment evolution of neurological symptoms stratified by the treatment remains unknown. The ma...
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pub_type: 杂志文章
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pub_type: 杂志文章
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journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2011.12.079
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abstract::Rare anomalous courses of vertebral arteries in the craniovertebral junction may compress the spinal cord causing myelopathy. We report here the severest form of this pathologic condition successfully treated with transposition of bilateral vertebral artery using Gore-Tex tapes. A 73-year-old man presented with progre...
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pub_type: 杂志文章,评审
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pub_type: 杂志文章
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pub_type: 杂志文章
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pub_type: 历史文章,杂志文章
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pub_type: 杂志文章
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更新日期:2018-03-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2013-09-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.wneu.2010.02.003
更新日期:2010-05-01 00:00:00
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pub_type: 杂志文章,评审
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pub_type: 杂志文章,评审
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pub_type: 杂志文章,多中心研究
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更新日期:2020-07-01 00:00:00
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更新日期:2019-08-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2019-12-01 00:00:00
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pub_type: 杂志文章
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更新日期:2020-03-01 00:00:00
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pub_type: 杂志文章
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更新日期:2016-07-01 00:00:00
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pub_type: 杂志文章
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更新日期:2017-10-01 00:00:00
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pub_type: 杂志文章
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更新日期:2020-12-31 00:00:00
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更新日期:2020-10-01 00:00:00