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Journal of Korean Neurosurgical Society > Volume 47(2); 2010 > Article
Journal of Korean Neurosurgical Society 2010;47(2): 134-136.
doi: https://doi.org/10.3340/jkns.2010.47.2.134
Bow Hunter's Stroke Caused by a Severe Facet Hypertrophy of C1-2.
Chung Kee Chough, Boyle C Cheng, William C Welch, Chun Kun Park
1Department of Neurosurgery, The Catholic University of Korea College of Medicine, St. Mary's Hospital, Seoul, Korea. chough@catholic.ac.kr
2Department of Neurological Surgery, University of Pittsburgh, Pittsburgh, USA.
3Department of Neurological Surgery, University of Pennsylvania, Philadelphia, USA.
4Department of Neurosurgery, The Catholic University of Korea College of Medicine, Seoul St. Mary's Hospital, Seoul, Korea.
ABSTRACT
Bow hunter's stroke is a rare symptomatic vertebrobasilar insufficiency in which vertebral artery (VA) is mechanically occluded during head rotation. Various pathologic conditions have been reported as causes of bow hunter's stroke. However, bow hunter's stroke caused by facet hypertrophy of C1-2 has not been reported. A 71-year-old woman presented with symptoms of vertebrobasilar insufficiency. Spine computed tomography showed massive facet hypertrophy on the left side of C1-2 level. A VA angiogram with her head rotated to the right revealed significant stenosis of left VA. C1-2 posterior fixation and fusion was performed to prevent serious neurologic deficit from vertebrobasilar stroke.
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