Wu Rongli, Watanabe Yoshiyuki, Sakaguchi Manabu, Tanaka Hisashi, Tomiyama Noriyuki
Radiol Case Rep. 2015 Dec 3;10(1):1025. doi: 10.2484/rcr.v10i1.1025. eCollection 2015.
Rotation-induced vertebral artery compression and occlusion with the outcome of cerebellar infarction (as opposed to the outcome of transient ischemia from hemodynamic insufficiency, known as bow hunter's stroke) is extremely rare. We report a 40-year-old male who suffered from ipsilateral neck-rotation-induced right vertebral artery compression and occlusion that resulted in right cerebellar infarction. In most reported cases, the rotation-compressed vertebral artery is located at the C1-2 level; however, our patient's compressed artery was located at the C6-7 level as demonstrated clearly by 3-dimensional CT angiography. This case report is based on a literature review and an investigation of the likely factors of this specific incident via the patient's personal details, clinical course, and diagnostic images.
旋转诱发的椎动脉压迫和闭塞并导致小脑梗死（与血流动力学不足引起的短暂性缺血，即所谓的“弓猎者中风”的结果相反）极为罕见。我们报告一例40岁男性，因同侧颈部旋转诱发右侧椎动脉压迫和闭塞，导致右侧小脑梗死。在大多数报道的病例中，旋转受压的椎动脉位于C1-2水平；然而，通过三维CT血管造影清楚显示，我们患者受压的动脉位于C6-7水平。本病例报告基于文献综述，并通过患者的个人信息、临床病程和诊断影像对这一特殊事件的可能因素进行了调查。
