ReviewEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2021
Rotational vertebral artery occlusion ("bow hunter syndrome").
Review in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 24 citations in OpenAlex.
- Bilateral bow hunter's syndrome at the craniocervical junction: illustrative case.Journal of neurosurgery. Case lessons · 2026Article
- Recurrent embolic cerebellar infarction due to bow hunter's syndrome of the non-dominant vertebral artery.BMJ case reports · 2026Article
- Challenging diagnosis of subaxial bow hunter's syndrome presenting with recurrent posterior circulation infarcts: illustrative case.Journal of neurosurgery. Case lessons · 2026Article
- Atlantoaxial Dislocation Presenting with Dizziness.Diagnostics (Basel, Switzerland) · 2026Article
- Application of bilateral transcranial Doppler ultrasound in diagnosing vertebral artery compression syndrome.BMC neurology · 2026Article
- A Case of Bow Hunter's Syndrome Caused by C3/4 Facet Joint Hypertrophy: Hemodynamic Complexity and Surgical Strategy.NMC case report journal · 2026Article
- Vertebral artery compression syndrome: dual insights from angiography and video-oculography.Journal of neurology · 2025Article
- Tumor-induced rotational vertebral artery occlusion in the upper cervical spine: illustrative case.Journal of neurosurgery. Case lessons · 2024Article
- Article
- Bow Hunter's Syndrome with Rotational Atlantoaxial Instability: A Rare Association.Asian journal of neurosurgery · 2024Article
- Bow hunter's syndrome due to an anomalous right vertebral artery origin and contralateral absence: a case report and literature review.BMC neurology · 2024Review
- Hidden Bow Hunter's Syndrome Diagnosed Using Dynamic Cerebral Angiography and Successfully Treated with Spinal Surgery: A Case Report and Review of the Literature.Internal medicine (Tokyo, Japan) · 2024Review
- 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 · 2023Review
- Rotational Vertebral Artery Syndrome (Bow Hunter's Syndrome): A Rare Differential Diagnosis in Patients With Syncope.Korean journal of neurotrauma · 2022Article
- A Loop That Matters-An Unusual Case of Bow Hunter's Syndrome.Brain sciences · 2022Article
- Bow hunter's syndrome successfully treated with a posterior surgical decompression approach: A case report and review of literature.World journal of clinical cases · 2022Article
- A Surgical Case of Bow Hunter's Syndrome Diagnosed by Cervical Rotational MRA.Case reports in orthopedics · 2022Article
- Ultrasound-guided computed tomography angiography for the diagnosis of rotational vertebral artery occlusion: 2 case reports and technical notes.Radiology case reports · 2022Article
- "Don't call me from the left side…": ischemic stroke in a patient with uncommon vertebral artery dissection.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021Article
- Letter to the Editor concerning "Rotational vertebral artery occlusion ('bow hunter syndrome')" by Schulz R, Donoso R, Weissman K (Eur Spine J. 2021 Jan 2. doi:10.1007/s00586-020-06, 680-5).European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2021Article
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3 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
purposeTo review the literature, analyze and discuss diagnostic and treatment options for the Bowhunter Syndrome. A clinical case of idiopathic rotatory C1-C2 subluxation causing dynamic vertebral artery occlusion is presented.
methodsLiterature review between 1960 and 2019, discussion of diagnostic methods and treatment options. Description of diagnostic and treatment methods in the aforementioned case.
resultsWe present a patient with dynamic left vertebral artery occlusion associated with idiopathic rotatory C1-C2 subluxation. A dynamic Angio-CT showed rotatory C1-C2 subluxation with significant flow reduction at the left vertebral artery at the exit of the C2 transverse foramen until the V3 segment when the head rotated towards the right. Due to clinical and radiological worsening in the following months, posterior C1-C2 arthrodesis was performed, with the disappearance of the symptoms. There are 193 cases reported with dynamic vertebral artery occlusion, but in only two, the etiology was primary rotational atlantoaxial instability. The most prevalent etiology was degenerative.
conclusionRotatory vertebral artery occlusion is a rare condition presented mostly in adults, aged 50-70 years. Vertebrobasilar insufficiency is triggered by the rotation of the head to the contralateral side of the dominant vertebral artery. Dynamic subtraction angiography is considered the diagnostic gold-standard method, but dynamic Angio-CT scan, Angio-MRI, or Doppler ultrasonography are less invasive options. The treatment options are conservative or surgical. Endovascular surgery is another option in specific cases.
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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.