ArticleFrontiers in neurology2021
Case Report: Bow Hunter Syndrome-One Reason to Add Non-gravity Dependent Positional Nystagmus Testing to Your Clinical Neuro-Otologic Exam.
Article in Frontiers in neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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4 citing papers in PubMed.
- Application of bilateral transcranial Doppler ultrasound in diagnosing vertebral artery compression syndrome.BMC neurology · 2026Article
- Passive Head Yawing as a Diagnostic Aid in Bow Hunter's Syndrome: A Rare Case of Bilateral Thrombosed Vertebral Artery Dissection Without Structural Compression.Annals of Indian Academy of Neurology · 2026Article
- Resolution of atypical posterior semicircular canal BPPV: evidence for putative short-arm location.BMJ case reports · 2023Article
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Abstract
This case study describes transient downbeat nystagmus with vertigo due to a bilateral Bow Hunters Syndrome that was initially treated for 7 months as a peripheral benign paroxysmal positional vertigo. Normal static angiography and imaging studies (magnetic resonance, computed tomography) contributed to the mis-diagnosis. However, not until positional testing with the patient in upright (non-gravity dependent) was a transient downbeat nystagmus revealed with vertigo. The patient was referred for neurosurgical consult. Unfortunately, surgery was delayed due to suicidal ideation and hospitalization. Eventually, vertigo symptoms resolved following a C4-5 anterior cervical dissection and fusion. This case highlights the critical inclusion of non-gravity dependent position testing as an augment to the positional testing component of the clinical examination as well as the extreme duress that prolonged positional vertigo can cause.
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