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Recurrent strokes in a patient with bow hunter syndrome and comorbid atrial fibrillation: A case study Cover

Recurrent strokes in a patient with bow hunter syndrome and comorbid atrial fibrillation: A case study

Open Access
|Oct 2025

References

  1. Alghamdi, S., & Benavente, O. (2016). Embolic stroke in relation to dynamic vertebral artery stenosis: A case report. Journal of Neurology, 263(Suppl 1), S1–S2.
  2. Cornelius, J. F., George, B., N’dri Oka, D., Spiriev, T., Steiger, H. J., &amp; Hänggi, D. (2012). Bow-hunter’s syndrome caused by dynamic vertebral artery stenosis at the cranio-cervical junction—a management algorithm based on a systematic review and a clinical series. Neurosurgical Review, 35(1), 127–135. <a href="https://doi.org/10.1007/s10143-011-0343-5" target="_blank" rel="noopener noreferrer" class="text-signal-blue hover:underline">https://doi.org/10.1007/s10143-011-0343-5</a>.
  3. Fox, M. W., Piepgras, D. G., &amp; Bartleson, J. D. (1995). Anterolateral decompression of the atlantoaxial vertebral artery for symptomatic positional occlusion of the vertebral artery: Case report. Neurosurgery, 36(6), 1221–1225. <a href="https://doi.org/10.1227/00006123-199506000-00025" target="_blank" rel="noopener noreferrer" class="text-signal-blue hover:underline">https://doi.org/10.1227/00006123-199506000-00025</a>.
  4. Inoue, H., Tokashiki, T., &amp; Otsuki, T. (2023). Successful prevention of Bow Hunter’s stroke associated with rheumatoid atlantoaxial subluxation via coil occlusion. Journal of NeuroInterventional Surgery, 15(5), e1–e3. <a href="https://doi.org/10.1136/neurintsurg-2022-019123" target="_blank" rel="noopener noreferrer" class="text-signal-blue hover:underline">https://doi.org/10.1136/neurintsurg-2022-019123</a>.
  5. Tanaka, K., &amp; Steinfort, B. (2019). Rare cause of Bow Hunter’s syndrome due to an aberrant course of a vertebral artery. BMJ Case Reports CP, 12(7), e229584.
  6. Kim, S., Kosinski, A., &amp; Lee, J. (2011). Endovascular and surgical management of symptomatic rotational vertebral artery compression resulting from cervical spondylosis. Spine Journal, 11(10), S45–S46.
  7. Kim, S., Lee, J. H., &amp; Park, J. H. (2013). Rotational ischemic vertebral artery compression (RIVAC) syndrome due to cervical facet hypertrophy and uncinate process osteophyte: Review of seven consecutive cases. Journal of Korean Neurosurgical Society, 54(3), 231–235.
  8. Kutsuna, M., Yamazaki, M., &amp; Takano, H. (2022). Endovascular coil embolization for recurrent Bow Hunter’s stroke. Interventional Neuroradiology, 28(2), 123–126.
  9. Matsuyama, T., Morimoto, T., &amp; Sakaki, T. (1997). Bow hunter’s stroke caused by a non-dominant vertebral artery occlusion: Case report. Neurosurgery, 41(6), 1393–1395. <a href="https://doi.org/10.1097/00006123-199712000-00034" target="_blank" rel="noopener noreferrer" class="text-signal-blue hover:underline">https://doi.org/10.1097/00006123-199712000-00034</a>.
  10. Miyamato, H., Sakai, K., &amp; Shimizu, T. (2024). Hidden Bow Hunter’s syndrome diagnosed using dynamic cerebral angiography: Case report. Journal of Clinical Neuroscience, 110, 45–48.
  11. Mosora, M., Popa, S., &amp; Florian, I. S. (2020). A rare cause of ischemic stroke in vertebrobasilar territory: Rotational vertebral artery occlusion (Bow Hunter’s syndrome). Romanian Journal of Neurology, 19(2), 87–90.
  12. Nakase, H., Ohnishi, H., &amp; Touho, H. (2014). Therapeutic strategy for Bow Hunter’s stroke. Neurologia Medico-Chirurgica, 54(3), 181–185.
  13. Noh, Y., Kwon, O. K., &amp; Kim, H. J. (2011). Rotational vertebral artery syndrome due to compression of nondominant vertebral artery terminating in posterior inferior cerebellar artery. Journal of Neurology, 258(10), 1775–1780. <a href="https://doi.org/10.1007/s00415-011-6005-5" target="_blank" rel="noopener noreferrer" class="text-signal-blue hover:underline">https://doi.org/10.1007/s00415-011-6005-5</a>.
  14. Sakai, K., Tsutsui, T., &amp; Arita, K. (1999). Bow hunter’s stroke associated with atlantooccipital assimilation—case report. Neurologia Medico-Chirurgica, 39(10), 696–700.
  15. Shimizu, S., Yamada, M., &amp; Takayama, K. (1999). Bow hunter’s stroke associated with an aberrant course of the vertebral artery—case report. Neurologia Medico-Chirurgica, 39 (12), 867–870.
  16. Shingai, Y., Ota, T., &amp; Nakagawa, T. (2021). Bow Hunter’s syndrome due to an embolic mechanism: Illustrative case. Journal of Neurosurgery: Case Lessons, 2(15), CASE21345. <a href="https://doi.org/10.3171/CASE21345" target="_blank" rel="noopener noreferrer" class="text-signal-blue hover:underline">https://doi.org/10.3171/CASE21345</a>.
  17. Takeshima, Y., Nishimura, A., &amp; Nakagawa, I. (2014). Fusion surgery for recurrent cerebellar infarctions due to bilateral atlantoaxial rotational vertebral artery occlusion. Spine, 39 (14), E860–E863. <a href="https://doi.org/10.1097/BRS.0000000000000345" target="_blank" rel="noopener noreferrer" class="text-signal-blue hover:underline">https://doi.org/10.1097/BRS.0000000000000345</a>.
  18. Takeshima, Y., Nakagawa, I., &amp; Motoyama, Y. (2018). Favorable long-term outcomes for positional vertebral artery occlusion with treatment strategy prioritizing spinal fusion surgery. World Neurosurgery, 115, e664–e669. <a href="https://doi.org/10.1016/j.wneu.2018.04.126" target="_blank" rel="noopener noreferrer" class="text-signal-blue hover:underline">https://doi.org/10.1016/j.wneu.2018.04.126</a>
  19. Thomas, B., Gupta, K., &amp; Siddiqui, A. (2015). Endovascular embolization of a nondominant vertebral artery compressed by an osteophyte to prevent recurrence of vertebrobasilar infarctions. Journal of NeuroInterventional Surgery, 7(5), e12–e13. <a href="https://doi.org/10.1136/neurintsurg-2014-011285" target="_blank" rel="noopener noreferrer" class="text-signal-blue hover:underline">https://doi.org/10.1136/neurintsurg-2014-011285</a>.
  20. Tominaga, T., Takahashi, T., &amp; Shimizu, H. (2002). Rotational vertebral artery occlusion from occipital bone anomaly: A rare cause of embolic stroke. Case report. Journal of Neurosurgery, 97(6), 1456–1459. <a href="https://doi.org/10.3171/jns.2002.97.6.1456" target="_blank" rel="noopener noreferrer" class="text-signal-blue hover:underline">https://doi.org/10.3171/jns.2002.97.6.1456</a>.
  21. Vilela, M. D., Goodkin, R., &amp; Lundin, D. A. (2005). Transcranial Doppler and computed tomography angiography in the diagnosis of Bow Hunter’s syndrome: A case series. Neurosurgery, 56(2), E412.
  22. Zaidi, H. A., Albuquerque, F. C., &amp; Chowdhry, S. A. (2014). Diagnosis and management of Bow Hunter’s syndrome: 15-year experience at Barrow Neurological Institute. World Neurosurgery, 82(5), 733–738. <a href="https://doi.org/10.1016/j.wneu.2014.02.027" target="_blank" rel="noopener noreferrer" class="text-signal-blue hover:underline">https://doi.org/10.1016/j.wneu.2014.02.027</a>.
DOI: https://doi.org/10.2478/ajon-2025-0013 | Journal eISSN: 2208-6781 | Journal ISSN: 1032-335X
Language: English
Page range: 44 - 51
Published on: Oct 10, 2025
Published by: Australasian Neuroscience Nurses Association
In partnership with: Paradigm Publishing Services
Publication frequency: 2 times per year

© 2025 Sheila Jala, Kaishin Tanaka, Aneeta Lal, Jean Paul Nguba Mbopey, Peter Lalor, Alice Powell, published by Australasian Neuroscience Nurses Association
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.