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What you need to know about: arterial cerebrovascular syndromes caused by static or dynamic musculoskeletal

Mert Karabacak1, Burak B Ozkara1, Burak Ozaydin2

  • 1Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Turkey.

British Journal of Hospital Medicine (London, England : 2005)
|April 4, 2022
PubMed

Insights

Cervical artery compression syndromes, like bow hunter's syndrome, are rare but increasingly recognized. Early diagnosis relies on clinical history and advanced imaging, with surgery often being the preferred treatment.

Area of Science:

  • Neurology
  • Vascular Surgery
  • Musculoskeletal Disorders

Background:

  • Cervical artery compression syndromes are rare conditions involving musculoskeletal structures impinging on arteries.
  • These include bow hunter's syndrome, beauty parlour stroke syndrome, and Eagle syndrome, necessitating a high index of suspicion for diagnosis.

Purpose of the Study:

  • To review the diagnosis and management of compressive syndromes of the cervical arteries.

Main Methods:

  • Diagnosis combines clinical history with advanced imaging.
  • Imaging selection considers static (compression-provoked) versus dynamic (movement-exaggerated) arterial compression.

Main Results:

  • Symptoms arise from vertebrobasilar insufficiency (vertebral artery compression) or internal carotid artery ischemia.
  • Compression can be static or dynamic, influencing imaging choices.

Conclusions:

  • These syndromes, though rare, are increasingly recognized.
  • Surgical intervention is the primary treatment modality for most identified cases.

Keywords:
Carotid stenosisCerebral infarctionEagle syndromeStrokeVertebrobasilar insufficiency

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