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Related Experiment Videos

Bow hunter stroke caused by cervical disc herniation. Case report.

G Edward Vates1, Kevin C Wang, David Bonovich

  • 1Department of Neurology, School of Medicine, University of California at San Francisco, 94143, USA. vatese@neurosurg.ucsf.edu

Journal of Neurosurgery
|January 25, 2002
PubMed
Summary

A rare case of bow hunter stroke was caused by a herniated cervical disc compressing the vertebral artery. This finding expands the known causes of transient vertebrobasilar ischemia, highlighting the importance of diagnostic imaging.

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Area of Science:

  • Neurology
  • Vascular Surgery
  • Radiology

Background:

  • Bow hunter stroke involves transient vertebrobasilar ischemia due to head turning, often linked to craniocervical junction abnormalities.
  • Vertebral artery (VA) compression is a common cause, but specific etiologies can be rare.

Observation:

  • A 56-year-old man experienced dizziness and syncope upon leftward head turning.
  • Symptoms correlated with reduced left VA blood flow detected by Transcranial Doppler (TCD) ultrasonography.
  • Angiography confirmed left VA occlusion at C4-5 during left head rotation.

Findings:

  • A laterally herniated cervical disc at C4-5 was identified as the cause of left VA compression.
  • Surgical decompression of the VA by unroofing the canal was performed via an anterior cervical approach.

Related Experiment Videos

  • This is the first reported case of a laterally herniated cervical disc causing bow hunter stroke.

    • Implications:

    • Herniated cervical discs should be considered in the differential diagnosis of bow hunter stroke.
    • Transcranial Doppler (TCD) ultrasonography is a valuable tool for diagnosing and managing this condition.
    • This case broadens the understanding of vertebral artery compression syndromes.