Kimihira Luna, Yoshimoto Takeshi, Ihara Masafumi
Department of Neurology, National Cerebral and Cardiovascular Center, Osaka, Japan.
Department of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, Osaka, Japan.
Int J Med Sci. 2021 Mar 19;18(10):2162-2165. doi: 10.7150/ijms.56442. eCollection 2021.
Bow hunter's syndrome (BHS) should not be overlooked as a cause of cerebral infarction in the posterior circulation. However, covert BHS, which does not impair blood flow with simple rotation but only at certain angles, may make the diagnosis of BHS difficult. We propose a new algorithm to detect BHS or covert BHS. We recommend that BHS and covert BHS be detected by noninvasive duplex ultrasonography, which will allow for appropriate treatment.
弓状血管压迫综合征(BHS)作为后循环脑梗死的一个病因不应被忽视。然而,隐匿性BHS,即简单旋转时不影响血流,仅在特定角度时才影响血流,可能会使BHS的诊断变得困难。我们提出一种新的算法来检测BHS或隐匿性BHS。我们建议通过无创双功超声检查来检测BHS和隐匿性BHS,这将有助于进行适当的治疗。