Evidence map›Paper›PMID 26301025›Full record

ArticleJournal of vascular and interventional neurology2015

Rare Etiology of Bow Hunter's Syndrome and Systematic Review of Literature.

Vaibhav Rastogi, Ashley Rawls, Omar Moore, Benjamin Victorica, Sheema Khan, Pradeepan Saravanapavan, Sunitha Midivelli, Prathap Raviraj, Anna Khanna, Sharathchandra Bidari and 1 more

Abstract read
In one paragraph

Article in Journal of vascular and interventional neurology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed
5.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 77 citations in OpenAlex.

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  8. Recurrent posterior circulation strokes: hunting for the culprit!Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
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  19. Transient ischemic attack and minor stroke as "surgeons affairs": a narrative review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2023
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Vaibhav RastogiDepartment of Neurology, University of Florida College of Medicine, Gainesville, FL-32611, USA.
Ashley RawlsDepartment of Neurology, University of Florida College of Medicine, Gainesville, FL-32611, USA.
Omar MooreDepartment of Neurology, University of Florida College of Medicine, Gainesville, FL-32611, USA.
Benjamin VictoricaDepartment of Neurology, University of Florida College of Medicine, Gainesville, FL-32611, USA.
Sheema KhanDepartment of Neurology, University of Florida College of Medicine, Gainesville, FL-32611, USA.
Pradeepan SaravanapavanDepartment of Neurology, University of Florida College of Medicine, Gainesville, FL-32611, USA.
Sunitha MidivelliDepartment of Neurology, University of Florida College of Medicine, Gainesville, FL-32611, USA.
Prathap RavirajDepartment of Internal Medicine, St. Mary's Medical center, Duluth, MN-55805, USA.
Anna KhannaDepartment of Neurology, University of Florida College of Medicine, Gainesville, FL-32611, USA.
Sharathchandra BidariDepartment of Radiology, University of Florida College of Medicine, Gainesville, FL-32611, USA.
Vishnumurthy S HednaDepartment of Neurology, University of Florida College of Medicine, Gainesville, FL-32611, USA.
University of Florida · USSt. Mary's Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBow Hunter's Syndrome is a mechanical occlusion of the vertebral artery which leads to a reduction in blood flow in posterior cerebral circulation resulting in transient reversible symptomatic vertebrobasilar insufficiency. CASE DESCRIPTION: We present a case of Bow Hunter's syndrome in a 53-year-old male that occurred after the patient underwent surgical correction of a proximal left subclavian artery aneurysm. Shortly after the surgery, the patient began to complain of transient visual changes, presyncopal spells, and dizziness upon turning his head to the left. A transcranial doppler ultrasound confirmed the diagnosis of Bow Hunter's syndrome. SYSTEMIC REVIEW: We analyzed the data on 153 patients with Bow Hunter's syndrome from the literature. An osteophyte was the most common cause of vertebral artery occlusion, and left vertebral artery was more commonly involved in patients with Bow Hunter's syndrome. Dynamic angiography was the definitive imaging modality to confirm the diagnosis, and surgery was most successful in alleviating symptoms.

conclusionWe believe that this is the first case of iatrogenic Bow Hunter's syndrome after surgical intervention for an aneurysm repair, and the largest review of literature of Bow Hunter's syndrome. Dynamic angiography is the gold standard for the diagnosis of Bow Hunter's syndrome. Surgery should be considered as the primary treatment approach in these patients, especially those who have bony compression as the etiology.

Indexed as

Bow Hunter’s syndromedynamic angiographyiatrogenicrotational vertebrobasilar insufficiencysurgery

Identifiers

PMID26301025
PMCPMC4535600
OpenAlexW1873416243

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.