Symptomatic rotational occlusion of the vertebral artery -- case report and review of the literature

摘要: Background Intermittent symptomatic vertebral artery (VA) occlusion associated with voluntary turning of the head is known as bow hunter's stroke. A total 40 such cases have been reported in literature to date. We report a case successfully treated surgical decompression and review on this topic. Treatment options, including cervical fusion, are reviewed. Case 54-year-old Caucasian male experienced headache, vertigo, nausea past 20 years whenever he turned his right. In neutral position all symptoms immediately disappeared. Six before admission our department patient complained that prolonged rotation right caused vertigo accompanied by right-sided hemianopia transient hemiparesis. At time, no treatment was recommended did not improve spontaneously. The referred 2002. Angiography disclosed normal carotid arteries, VA, while left VA patent position. However, during right, became occluded at C1-2 level. level decompressed. Result Postoperative angiography indicated both maximal symptom-free for more than 24 months. Conclusion Surgical syndrome easy effective; should draw attention very rare cause VBI. authors believe represents physiological modality, hence first-line procedure.