Çevik Serdar, Katar Salim, Hanımoǧlu Hakan
Department of Neurosurgery, Agri State Hospital, Neurosurgery Clinic, Agri, Turkey.
Department of Neurosurgery, Selahaddin Eyyübi State Hospital, Neurosurgery Clinic, Diyarbakir, Turkey.
Asian J Neurosurg. 2018 Apr-Jun;13(2):411-413. doi: 10.4103/ajns.AJNS_338_16.
Bow hunter's syndrome (BHS) is characterized with repeating paroxysmal vertigo, nystagmus and ataxia caused by mechanical compression of the vertebral arteries. There is no definite diagnostic and treatment protocol. 26-year-old female patient admitted to the outpatient clinic with complaints of dizziness and seldom falls. Stenosis in the right vertebral artery at the level of C1 and C2 was discovered by the diagnostic modalities. In our patient, we first performed hemilaminectomy by posterior approach. But the symptoms of the patient did not recede, thus we performed decompression with the anterolateral approach by opening the foramens atlas and axis without disrupting the dynamics of the vertebrae and without the need for stabilization. The symptoms of the patient disappeared after this intervention. The patient had complete relief of symptoms at the first year follow up. Surgery must be planned to preserve the life quality of the patient and relieve complaints of the patients. To achieve these goals anterolateral approach must be tried before attempting posterior stabilization.
弓猎综合征（BHS）的特征是由椎动脉机械性压迫引起的反复阵发性眩晕、眼球震颤和共济失调。目前尚无明确的诊断和治疗方案。一名26岁女性患者因头晕和偶尔跌倒的主诉到门诊就诊。通过诊断手段发现其C1和C2水平的右侧椎动脉狭窄。在我们的患者中，我们首先采用后路进行半椎板切除术。但患者症状并未缓解，因此我们采用前外侧入路，打开寰椎和枢椎的椎间孔进行减压，既不破坏椎体的动力学结构，也无需进行固定。此次干预后患者症状消失。在第一年的随访中，患者症状完全缓解。必须制定手术方案以维持患者的生活质量并缓解患者的症状。为实现这些目标，在尝试后路固定之前必须先尝试前外侧入路。
