Evidence map›Paper›PMID 40353172›Full record

ArticleSurgical neurology international2025

Rotational Bow Hunter's ischemic stroke caused by post-traumatic os odontoideum in an older patient: An illustrative case.

Daigo Aso, Hisaaki Uchikado, Takehiro Makizono, Tomoya Miyagi, Nobuhiro Hata

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In one paragraph

Article in Surgical neurology international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

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0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Daigo AsoDepartment of Neurosurgery, Saiki Central Hospital, Saiki, Japan.
Hisaaki UchikadoDepartment of Neurosurgery, Uchikado Neuro-Spine Clinic, Fukuoka, Japan.
Takehiro MakizonoDepartment of Neurosurgery, Kurume University School of Medicine, Kurume, Japan.
Tomoya MiyagiDepartment of Neurosurgery, Ichinomiya Neurosurgical Hospital, Hita, Japan.
Nobuhiro HataDepartment of Neurosurgery, Oita University Faculty of Medicine, Yufu, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Bow Hunter's syndrome (BHS) is a rare condition in which head rotation or extension temporarily compresses the vertebral artery (VA), reducing blood flow to the posterior circulation. Here, a 66-year-old male developed BHS when left neck rotation caused VA compression due to a congenital os odontoideum. Case Description: A 66-year-old male presented with loss of consciousness following hyperextension/left neck rotation. Imaging revealed a chronic odontoid fracture (Anderson Type II or here likely congenital os odontoideum) with tortuosity of the right VA in the V3 segment. Notably, a posteriorly dislocated odontoid fragment caused occlusion of the dominant right VA at the ponticulus posticus, thus causing BHS. Following C1-C2 fusion, the patient's symptoms resolved. Conclusion: An: A66-year-old male who sustained cervical hyperextension/left rotation at the C1-C2 level developed occlusion of the right VA and BHS due to an os odontoideum.

Indexed as

Bow Hunter’s strokeElderly patientOs odontoideumPost-traumatic

Identifiers

PMID40353172
PMCPMC12065489

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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.