Bow Hunter's Stroke Caused by a Severe Facet Hypertrophy of C1-2.
10.3340/jkns.2010.47.2.134
- Author:
Chung Kee CHOUGH
1
;
Boyle C CHENG
;
William C WELCH
;
Chun Kun PARK
Author Information
1. Department of Neurosurgery, The Catholic University of Korea College of Medicine, St. Mary's Hospital, Seoul, Korea. chough@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Bow hunter's stroke;
Facet joint;
Hypertrophy;
C1-2 fusion
- MeSH:
Aged;
Constriction, Pathologic;
Female;
Head;
Humans;
Hypertrophy;
Neurologic Manifestations;
Spine;
Stroke;
Vertebral Artery;
Vertebrobasilar Insufficiency;
Zygapophyseal Joint
- From:Journal of Korean Neurosurgical Society
2010;47(2):134-136
- CountryRepublic of Korea
- Language:English
-
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.
