Hidden Bow Hunter's Syndrome Diagnosed Using Dynamic Cerebral Angiography and Successfully Treated with Spinal Surgery: A Case Report and Review of the Literature

Hidden bow hunter's syndrome (HBHS) is a rare disease in which the vertebral artery (VA) occludes in a neutral position but recanalizes in a particular neck position. We herein report an HBHS case and assess its characteristics through a literature review. A 69-year-old man had repeated posteri...

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Veröffentlicht in:Internal Medicine 2024/01/15, Vol.63(2), pp.327-331
Hauptverfasser: Miyamoto, Satoshi, Hayakawa, Mikito, Okune, Sho, Shintoku, Ryosuke, Yamano, Akinari, Hiramine, Takato, Takahashi, Toshihide, Hosoo, Hisayuki, Ito, Yoshiro, Marushima, Aiki, Koda, Masao, Ishikawa, Eiichi, Matsumaru, Yuji
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container_end_page 331
container_issue 2
container_start_page 327
container_title Internal Medicine
container_volume 63
creator Miyamoto, Satoshi
Hayakawa, Mikito
Okune, Sho
Shintoku, Ryosuke
Yamano, Akinari
Hiramine, Takato
Takahashi, Toshihide
Hosoo, Hisayuki
Ito, Yoshiro
Marushima, Aiki
Koda, Masao
Ishikawa, Eiichi
Matsumaru, Yuji
description Hidden bow hunter's syndrome (HBHS) is a rare disease in which the vertebral artery (VA) occludes in a neutral position but recanalizes in a particular neck position. We herein report an HBHS case and assess its characteristics through a literature review. A 69-year-old man had repeated posterior-circulation infarcts with right VA occlusion. Cerebral angiography showed that the right VA was recanalized only with neck tilt. Decompression of the VA successfully prevented stroke recurrence. HBHS should be considered in patients with posterior circulation infarction with an occluded VA at its lower vertebral level. Diagnosing this syndrome correctly is important for preventing stroke recurrence.
doi_str_mv 10.2169/internalmedicine.1386-22
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Med.</addtitle><date>2024-01-15</date><risdate>2024</risdate><volume>63</volume><issue>2</issue><spage>327</spage><epage>331</epage><pages>327-331</pages><artnum>1386-22</artnum><issn>0918-2918</issn><eissn>1349-7235</eissn><abstract>Hidden bow hunter's syndrome (HBHS) is a rare disease in which the vertebral artery (VA) occludes in a neutral position but recanalizes in a particular neck position. We herein report an HBHS case and assess its characteristics through a literature review. A 69-year-old man had repeated posterior-circulation infarcts with right VA occlusion. Cerebral angiography showed that the right VA was recanalized only with neck tilt. Decompression of the VA successfully prevented stroke recurrence. HBHS should be considered in patients with posterior circulation infarction with an occluded VA at its lower vertebral level. Diagnosing this syndrome correctly is important for preventing stroke recurrence.</abstract><cop>Japan</cop><pub>The Japanese Society of Internal Medicine</pub><pmid>37286508</pmid><doi>10.2169/internalmedicine.1386-22</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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ispartof Internal Medicine, 2024/01/15, Vol.63(2), pp.327-331
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language eng
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subjects Aged
Angiography
bow hunter's syndrome
Case Report
Cerebral Angiography - adverse effects
Cerebral blood flow
Cerebral infarction
Decompression
hidden bow hunter's syndrome
Humans
Hunter's syndrome
Ischemia
Literature reviews
Male
Mucopolysaccharidosis II - complications
posterior circulation infarction
Stroke - complications
stroke causes
Vertebrae
Vertebral Artery - diagnostic imaging
Vertebral Artery - surgery
Vertebrobasilar Insufficiency - diagnostic imaging
Vertebrobasilar Insufficiency - etiology
Vertebrobasilar Insufficiency - surgery
title Hidden Bow Hunter's Syndrome Diagnosed Using Dynamic Cerebral Angiography and Successfully Treated with Spinal Surgery: A Case Report and Review of the Literature
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