Clinical Neuroradiology

, Volume 22, Issue 4, pp 355–358 | Cite as

Bow Hunter’s Stroke Due to Prominent Degenerative Spinal Disorder

  • L. Andereggen
  • M. Arnold
  • R.  H. Andres
  • A. Raabe
  • M. Reinert
  • J. GrallaEmail author


Symptomatic vertebrobasilar insufficiency resulting from neck rotation, also named bow hunter’s syndrome due to the rotated position of the patient’s head or neck when symptoms develop, most commonly occurs from temporary stenosis or occlusion of the vertebral artery (VA) at the C1 or C2 level [1, 2, 3, 4]. There are few cases of bow hunter’s syndrome caused by obstruction of the VA at the lower cervical levels between C3–C6 [5, 6, 7]. This report illustrates the case of bow hunter’s syndrome at the level C5–C6 due to a degenerative osseous prominence in a woman presenting with acute ischemic stroke finally treated by surgical decompression.

Case Report

A 66-year old previously healthy female patient was admitted to our Stroke Unit due to sudden nondirectional vertigo, vomiting, and temporary loss of consciousness while looking out of a train window. Clinical examination revealed horizontal nystagmus and a positive Babinski sign on the left side. Routine serum lab values...


Vertebral Artery Head Rotation Posterior Inferior Cerebellar Artery Left Vertebral Artery Transverse Foramen 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Conflict of Interest

No funding was received for this work. The authors declare no conflict of interest.


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Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  • L. Andereggen
    • 1
    • 2
  • M. Arnold
    • 3
  • R.  H. Andres
    • 2
  • A. Raabe
    • 2
  • M. Reinert
    • 2
  • J. Gralla
    • 4
    Email author
  1. 1.Department of Neurosurgery and Institute of Diagnostic and Interventional NeuroradiologyBern University HospitalBernSwitzerland
  2. 2.Department of NeurosurgeryBern University HospitalBernSwitzerland
  3. 3.Department of NeurologyBern University HospitalBernSwitzerland
  4. 4.Institute of Diagnostic and Interventional NeuroradiologyBern University HospitalBernSwitzerland

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