{"id":"1e76beee-b049-401c-a7eb-6702417f926f","slug":"bow-hunters-syndrome-treated-by-anterior-decompression-with-fusion-a-case-report","title":"Bow hunter’s syndrome treated by anterior decompression with fusion: A case report","authors":["Kazuya Morita","Akira Tamase","Hiroyuki Abe","Kentaro Mori","Issei Fukui","Ryotaro Yamashita","Mutsuki Takeda","Tatsu Nakano","Hiroshi Shima","Motohiro Nomura"],"abstract":"Background: Bow hunter’s syndrome (BHS) is a rare condition induced by occlusion or compression of the vertebral artery (VA) during head movement or rotation. Here, we report a patient with BHS effectively treated with an anterior cervical discectomy and fusion (ACDF). Case Description: A 75-year-old male experienced recurrent embolic strokes to the posterior circulation. This was attributed angiographically to transient stenosis of the right VA due to a right-sided C5-C6 osteophyte when the head was rotated to the right; the stenosis was improved when the patient rotated his head to the left. The patient successfully underwent a C5-C6 ACDF for removal of the right-sided lateral osteophyte which resulted in no further transient right-sided VA occlusion. Conclusion: Following a C5-C6 ACDF for removal of a right lateral osteophyte, a 75-year-old male’s intermittent right-sided VA occlusion responsible for multiple posterior circulation emboli was relieved.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/1e76beee-b049-401c-a7eb-6702417f926f/featured/hero-1781561505727.png","publishDate":"2022-03-31T00:00:00.000Z","doi":"10.25259/SNI_172_2022","categories":["Spine","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2022/03/11503/SNI-13-115.pdf"}