Department of Neurology, Nara Medical University, Nara, Japan.
J Neuroimaging. 2010 Jul;20(3):284-6. doi: 10.1111/j.1552-6569.2008.00309.x. Epub 2008 Oct 21.
Rotational vertebral artery (VA) occlusion can cause ischemic strokes due to hemodynamic insufficiency and possibly artery-to-artery (A-to-A) embolism. The former is known as bow hunter's stroke. The latter has been proposed only from indirect evidence. We have described a 7-year-old boy with cerebral infarction associated with A-to-A embolism due to repetitive rotational VA occlusion. He had a mobile mural thrombus at the VA occlusion site on head rotation. Surgical treatment may effectively prevent recurrences.
旋转性椎动脉（VA）闭塞可因血流动力学不足和可能的动脉到动脉（A-to-A）栓塞导致缺血性脑卒中。前者称为弓猎者卒中。后者仅从间接证据中提出。我们描述了一例 7 岁男孩，因反复旋转性 VA 闭塞导致 A-to-A 栓塞引起的脑梗死。他在头部旋转时 VA 闭塞部位有一个移动的壁血栓。手术治疗可能有效地预防复发。
