Journal of Korean Neurosurgical Society

  • 제47권2호
  • /
  • Pages.134-136
  • /
  • 2010
  • /
  • 2005-3711(pISSN)
  • /
  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
권호 표지
DOI QR코드

DOI QR Code

Bow Hunter's Stroke Caused by a Severe Facet Hypertrophy of C1-2

  • Chough, Chung-Kee (Department of Neurosurgery, The Catholic University of Korea College of Medicine, St. Mary's Hospital) ;
  • Cheng, Boyle C. (Department of Neurological Surgery, University of Pittsburgh) ;
  • Welch, William C. (Department of Neurological Surgery, University of Pennsylvania) ;
  • Park, Chun-Kun (Department of Neurosurgery, The Catholic University of Korea College of Medicine, Seoul St. Mary's Hospital)
  • 발행 : 2010.02.20
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Bow hunter's stroke is a rare symptomatic vertebrobasilar insufficiency in which vertebral artery (VA) is mechanically occluded during head rotation. Various pathologic conditions have been reported as causes of bow hunter's stroke. However, bow hunter's stroke caused by facet hypertrophy of C1-2 has not been reported. A 71-year-old woman presented with symptoms of vertebrobasilar insufficiency. Spine computed tomography showed massive facet hypertrophy on the left side of C1-2 level. A VA angiogram with her head rotated to the right revealed significant stenosis of left VA. C1-2 posterior fixation and fusion was performed to prevent serious neurologic deficit from vertebrobasilar stroke.

키워드

References

  1. Barton JW, Margolis MT : Rotational obstruction of the vertebral artery at the atlantoaxial joint. Neuroradiology 9 : 117-120, 1975 https://doi.org/10.1007/BF00332957
  2. Bauer R, Sheehan S, Meyer JS : Arteriographic study of cerebrovascular disease. II. Cerebral symptoms due to kinking, tortuousity, and compression of carotid and vertebral arteries in the neck. Arch Neurol 4 : 119-131, 1961 https://doi.org/10.1001/archneur.1961.00450080001001
  3. Easton JD, Sherman DG : Cervical manipulation and stroke. Stroke 8 : 594-597, 1977 https://doi.org/10.1161/01.STR.8.5.594
  4. Fox MW, Piepgras DG, Bartleson JD : Anterolateral decompression of the atlantoaxial vertebral artery for symptomatic positional occlusion of the vertebral artery. Case report. J Neurosurg 83 : 737-740, 1995 https://doi.org/10.3171/jns.1995.83.4.0737
  5. Frisoni GB, Anzola GP : Vertebrobasilar ischemia after neck motion. Stroke 22 : 1452-1460, 1991 https://doi.org/10.1161/01.STR.22.11.1452
  6. Hardin CA, Poser CM : Rotational obstruction of the vertebral artery due to redundancy and extraluminal cervical fascial bands. Ann Surg 158 : 133-137, 1963 https://doi.org/10.1097/00000658-196307000-00025
  7. Harms J, Melcher RP : Posterior C1-C2 fusion with polyaxial screw and rod fixation. Spine (Phila Pa 1976) 26 : 2467-2471, 2001 https://doi.org/10.1097/00007632-200111150-00014
  8. Mapstone T, Spetzler RF : Vertebrobasilar insufficiency secondary to vertebral artery occlusion from a fibrous band. Case report. J Neurosurg 56 : 581-583, 1982 https://doi.org/10.3171/jns.1982.56.4.0581
  9. Matsuyama T, Morimoto T, Sakaki T : Comparison of C1-2 posterior fusion and decompression of the vertebral artery in the treatment of Bow hunter's stroke. J Neurosurg 86 : 619-623, 1997 https://doi.org/10.3171/jns.1997.86.4.0619
  10. Miele VJ, France JC, Rosen CL : Subaxial positional vertebral artery occlusion corrected by decompression and fusion. Spine (Phila Pa 1976) 33 : E366-E370, 2008 https://doi.org/10.1097/BRS.0b013e31817192a1
  11. Pasztor E : Decompression of vertebral artery in cases of cervical spondylosis. Surg Neurol 9 : 371-377, 1978
  12. Seki T, Hida K, Akino M, Iwasaki Y : Anterior Decompression of the atlantoaxial vertebral artery to treat bow hunter's stroke : technical case report. Neurosurgery 49 : 1474-1476, 2001 https://doi.org/10.1097/00006123-200112000-00037
  13. Sheehan S, Bauer RB, Meyer JS : Vertebral artery compression in cervical spondylosis. Arteriographic demonstration during life of vertebral artery insufficiency due to rotation and extension of the neck. Neurology 10 : 968-986, 1960 https://doi.org/10.1212/WNL.10.11.968
  14. Shimizu T, Shiro W, Kojima T, Niwa S : Decompression of the vertebral artery for bow hunter's stroke. Case report. J Neurosurg 69 : 127-131, 1988 https://doi.org/10.3171/jns.1988.69.1.0127
  15. Sorenson BF : Bow hunter's stroke. Neurosurgery 2 : 259-261, 1978 https://doi.org/10.1227/00006123-197805000-00013

Cited by

  1. Open Repair of Vertebral Artery: A 7-Year Single-Center Report vol.26, pp.1, 2012, https://doi.org/10.1016/j.avsg.2011.09.001
  2. Bow hunter’s syndrome revisited: 2 new cases and literature review of 124 cases vol.38, pp.4, 2010, https://doi.org/10.3171/2015.1.focus14791
  3. Pearls & Oy-sters: Bow hunter syndrome: A rare cause of posterior circulation stroke : Do not look the other way vol.91, pp.7, 2010, https://doi.org/10.1212/wnl.0000000000006009
  4. Dynamic CT angiography of the head and neck in the diagnosis of Bow Hunter's Syndrome: A case report vol.15, pp.11, 2010, https://doi.org/10.1016/j.radcr.2020.08.022