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Endovascular Coil Embolization for Recurrent Bow Hunter's Stroke
Fumiya Kutsuna1, Yoichi Morofuji2, Eri Shiozaki2
1Department of Neurology, National Hospital Organization Nagasaki Medical Center, Japan.
Internal Medicine (Tokyo, Japan)
|May 15, 2022
Summary
Bow hunter's stroke, a rare cause of vertebrobasilar infarction, was successfully treated with endovascular parent artery occlusion. This case report suggests endovascular intervention may be an effective treatment for this condition.
Area of Science:
- Neurology
- Vascular Surgery
Background:
- Bow hunter's stroke is a rare cause of vertebrobasilar infarction, with no established optimal treatment.
- Vertebrobasilar insufficiency can lead to posterior circulation infarcts.
Observation:
- A 70-year-old man presented with central vertigo and posterior circulation infarcts on MRI.
- Dynamic angiography revealed right vertebral artery thrombus and hypoperfusion during head rotation.
Findings:
- Successful endovascular parent artery occlusion of the right vertebral artery was performed.
- No recurrence of symptoms or infarcts was observed on follow-up MRI.
Implications:
- Endovascular parent artery occlusion presents a potentially effective treatment option for bow hunter's stroke.
- This case highlights the utility of endovascular techniques in managing rare cerebrovascular conditions.
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