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 |
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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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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.</description><identifier>ISSN: 0918-2918</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.1386-22</identifier><identifier>PMID: 37286508</identifier><language>eng</language><publisher>Japan: The Japanese Society of Internal Medicine</publisher><subject>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</subject><ispartof>Internal Medicine, 2024/01/15, Vol.63(2), pp.327-331</ispartof><rights>2024 by The Japanese Society of Internal Medicine</rights><rights>2024. This work is published under https://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). 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Med.</addtitle><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.</description><subject>Aged</subject><subject>Angiography</subject><subject>bow hunter's syndrome</subject><subject>Case Report</subject><subject>Cerebral Angiography - adverse effects</subject><subject>Cerebral blood flow</subject><subject>Cerebral infarction</subject><subject>Decompression</subject><subject>hidden bow hunter's syndrome</subject><subject>Humans</subject><subject>Hunter's syndrome</subject><subject>Ischemia</subject><subject>Literature reviews</subject><subject>Male</subject><subject>Mucopolysaccharidosis II - complications</subject><subject>posterior circulation infarction</subject><subject>Stroke - complications</subject><subject>stroke causes</subject><subject>Vertebrae</subject><subject>Vertebral Artery - diagnostic imaging</subject><subject>Vertebral Artery - surgery</subject><subject>Vertebrobasilar Insufficiency - diagnostic imaging</subject><subject>Vertebrobasilar Insufficiency - etiology</subject><subject>Vertebrobasilar Insufficiency - surgery</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNplksuO0zAUhiMEYsrAKyBLLGCTwZfEsdmg0gGKVIE0nVlbTnKSukrtYidT5XV4UpxpqWDYHC_O9_8-tyRBBF9RwuV7Y3vwVnc7qE1lLFwRJnhK6ZNkRlgm04Ky_Gkyw5KIlMZwkbwIYYsxE4Wkz5MLVlDBcyxmya-lqWuw6JM7oOUw2b4NaD3a2rsdoGujW-sC1OguGNui69HqnanQAjyUXndoblvjWq_3mxFpW6P1UFUQQjN03YhuPeg-ag-m36D13sSCI-Bb8OMHNEcLHQDdwN75_kF7A_cGDsg1qN8AWplYi-4HDy-TZ43uArw6vZfJ3ZfPt4tluvrx9dtivkqrXPA-5VDXORc6k3WDeakLgLzBTZFnGHIoStBQllrGPCMkywWmJc10RWTkZJExdpl8PPruhzIOtgLbxxbV3pud9qNy2qh_M9ZsVOvuFcGCZ1iI6PDu5ODdzwFCr3YmVNB12oIbgqKCMilJIUlE3zxCt26YVhopSTnjTD4YiiNVeReCh-ZcDcFqugT1-BLUdAmK0ih9_Xc3Z-Gf1Ufg-xHYhl63cAa0703Vwf_OnCk6hdMPZ7DaaK_Ast8iD9Vg</recordid><startdate>20240115</startdate><enddate>20240115</enddate><creator>Miyamoto, Satoshi</creator><creator>Hayakawa, Mikito</creator><creator>Okune, Sho</creator><creator>Shintoku, Ryosuke</creator><creator>Yamano, Akinari</creator><creator>Hiramine, Takato</creator><creator>Takahashi, Toshihide</creator><creator>Hosoo, Hisayuki</creator><creator>Ito, Yoshiro</creator><creator>Marushima, Aiki</creator><creator>Koda, Masao</creator><creator>Ishikawa, Eiichi</creator><creator>Matsumaru, Yuji</creator><general>The Japanese Society of Internal Medicine</general><general>Japan Science and Technology Agency</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20240115</creationdate><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</title><author>Miyamoto, Satoshi ; 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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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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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