Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2022 Jan;53(1):e26-e29.
doi: 10.1161/STROKEAHA.121.037253. Epub 2021 Dec 6.

Bow Hunter's Syndrome

Robert W Regenhardt  1   2 , Mariel G Kozberg  2 , Adam A Dmytriw  1 , Justin E Vranic  1 , Christopher J Stapleton  1 , Scott B Silverman  2 , Aman B Patel  1
Affiliations
Case Reports

Bow Hunter's Syndrome

Robert W Regenhardt et al. Stroke. 2022 Jan.
No abstract available

Keywords: digital subtraction angiography; ischemic stroke; transcranial Doppler sonography; transient ischemic attack; ultrasonography; vertebral artery; vertebrobasilar insufficiency.

PubMed Disclaimer

Figures

Figure 1.
Figure 1.
Head and neck computed tomography angiography revealed a C5-C6 osteophyte (arrow in panel A) in proximity to the right vertebral artery (arrow in panel B).
Figure 2.
Figure 2.
A-B. Cervical vertebral artery dynamic ultrasonography revealed increased peak systolic flow velocity with right head turn. C. There was no effect of left head turn. D. Intracranial vertebral artery dynamic transcranial Doppler revealed reduced peak systolic flow velocity with right head turn.
Figure 3.
Figure 3.
A-B. Digital subtraction angiography revealed the right vertebral artery was unremarkable in the standard AP position (A) but turning the head to the right elicited a focal region of stenosis (B, large arrow, magnified view is inset). C. The left vertebral artery was congenitally hypoplastic. AP view with left vertebral artery injection. D-E. There was a chronic-appearing mid-basilar occlusion (small arrows), and the bilateral posterior cerebral, bilateral superior cerebellar, and superior basilar arteries were supplied by the anterior circulation through a robust right posterior communicating artery. Both are lateral views; D is right internal carotid artery injection; E is right vertebral artery injection.
See this image and copyright information in PMC

References

    1. Sorensen BF. Bow hunter’s stroke. Neurosurgery 1978;2:259–261. - PubMed
    1. Duan G, Xu J, Shi J, Cao Y. Advances in the Pathogenesis, Diagnosis and Treatment of Bow Hunter’s Syndrome: A Comprehensive Review of the Literature. Interv. Neurol 2016;5:29–38. - PMC - PubMed
    1. Choi KD, Choi JH, Kim JS, Kim HJ, Kim MJ, Lee TH, Lee H, Moon IS, Oh HJ, Kim J Il. Rotational vertebral artery occlusion: Mechanisms and long-term outcome. Stroke 2013;44:1817–1824. - PubMed
    1. Rastogi V, Rawls A, Moore O, Victorica B, Khan S, Saravanapavan P, Midivelli S, Raviraj P, Khanna A, Bidari S, et al. Rare Etiology of Bow Hunter’s Syndrome and Systematic Review of Literature. J. Vasc. Interv. Neurol 2015;8:7–16. - PMC - PubMed
    1. Regenhardt RW, Das AS, Stapleton CJ, Chandra RV, Rabinov JD, Patel AB, Hirsch JA, Leslie-Mazwi TM. Blood pressure and penumbral sustenance in stroke from large vessel occlusion. Front. Neurol 2017;8:317. - PMC - PubMed

Publication types