Atypical case of bow hunter’s syndrome linked to aberrantly coursing vertebral artery: A case report  

作　　者：Jun Hyong Ahn Hyo Sub Jun In Kyeong Kim Choong Hyo Kim Seung Jin Lee 

机构地区：[1]Department of Neurosurgery,Kangwon National University School of Medicine,Kangwon National University Hospital,Gangwon-do,Chuncheon-si 24289,South Korea

出　　处：《World Journal of Clinical Cases》2023年第35期8399-8403,共5页世界临床病例杂志

摘　　要：BACKGROUND In bow hunter’s syndrome(BHS),also known as rotational vertebral artery(VA)syndrome,there is dynamic/rotational compression of the VA producing verte-brobasilar insufficiency.Most occurrences involve atlantoaxial rather than mid-cervical VA compromise,the latter being rarely reported.Herein,we detail successful VA decompression at mid-cervical spine,given a departure from its usual course.CASE SUMMARY The patient,a 45-year-old man,presented to our hospital with occipital headache and vertigo.Computed tomography angiography showed anomalous C4 entry of right VA,with compression upon head rotation to that side.Thyroid cartilage and anterior tubercle of C5 transverse process were visibly at fault.We opted for sur-gery,using an anterior cervical approach to remove the anterior tubercle.Patient recovery was uneventful and brought resolution of all preoperative symptoms.CONCLUSION BHS is an important consideration where aberrant coursing of VA and neurologic symptoms coexist.

关 键 词：Bow hunter’s syndrome Vertebral artery Vertebrobasilar insufficiency Case report 

分 类 号：R543[医药卫生—心血管疾病]