A case report of recurrent posterior circulation infarction caused by bilateral bow hunter's syndrome
10.3969/j.issn.1672-5921.2025.09.006
- VernacularTitle:双侧猎人弓综合征致反复后循环梗死一例并文献复习
- Author:
Jun ZHANG
1
;
Huan ZHANG
;
Pingping WANG
;
Yuan WANG
;
Ting YANG
;
Qingfeng MA
;
Longfei WU
Author Information
1. 100053 北京,首都医科大学宣武医院临床研究中心
- Publication Type:Journal Article
- Keywords:
Bow hunter's syndrome;
Vertebral artery dissection;
Arterio-arterial embolic infarction;
Wake-up stroke;
Posterior circulation infarction
- From:
Chinese Journal of Cerebrovascular Diseases
2025;22(9):631-635
- CountryChina
- Language:Chinese
-
Abstract:
Bow hunter's syndrome,also referred to as rotational vertebral artery occlusion syndrome,is a rare etiological factor of posterior circulation infarction.This article reported a case of a young male patient who experienced recurrent posterior circulation infarctions caused by bilateral bow hunter's syndrome.Carotid ultrasonography confirmed a marked reduction in blood flow velocity in both vertebral arteries during neck rotation.High-resolution MR angiography and CT angiography of the head and neck revealed dissection involving the V3 segment of the left vertebral artery.The findings suggested that bow hunter's syndrome may be associated with thrombus formation secondary to repetitive mechanical compression of the vertebral artery intima,which could potentially lead to arterial embolism and subsequent cerebral infarction.This paper presents the patient's diagnostic and therapeutic course and includes a review of relevant literature aimed to enhance clinical awareness and understanding of this uncommon condition.
