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前路减压融合术治疗弓状猎人综合征：一例报告。

Bow hunter's syndrome treated by anterior decompression with fusion: A case report.

作者信息

Morita Kazuya, Tamase Akira, Abe Hiroyuki, Mori Kentaro, Fukui Issei, Yamashita Ryotaro, Takeda Mutsuki, Nakano Tatsu, Shima Hiroshi, Nomura Motohiro

机构信息

Department of Neurosurgery, Yokohama Sakae Kyosai Hospital, Yokohama.

Department of Neurology, Yokohama Sakae Kyosai Hospital, Yokohama.

出版信息

Surg Neurol Int. 2022 Mar 31;13:115. doi: 10.25259/SNI_172_2022. eCollection 2022.

DOI:10.25259/SNI_172_2022
PMID:35509537
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9062892/
Abstract

BACKGROUND

Bow hunter's syndrome (BHS) is a rare condition induced by occlusion or compression of the vertebral artery (VA) during head movement or rotation. Here, we report a patient with BHS effectively treated with an anterior cervical discectomy and fusion (ACDF).

CASE DESCRIPTION

A 75-year-old male experienced recurrent embolic strokes to the posterior circulation. This was attributed angiographically to transient stenosis of the right VA due to a right-sided C5-C6 osteophyte when the head was rotated to the right; the stenosis was improved when the patient rotated his head to the left. The patient successfully underwent a C5-C6 ACDF for removal of the right-sided lateral osteophyte which resulted in no further transient right-sided VA occlusion.

CONCLUSION

Following a C5-C6 ACDF for removal of a right lateral osteophyte, a 75-year-old male's intermittent right-sided VA occlusion responsible for multiple posterior circulation emboli was relieved.

摘要

背景

弓猎综合征（BHS）是一种在头部运动或旋转过程中由椎动脉（VA）闭塞或受压引起的罕见病症。在此，我们报告一例通过颈椎前路椎间盘切除融合术（ACDF）有效治疗的BHS患者。

病例描述

一名75岁男性出现后循环反复栓塞性中风。血管造影显示，这归因于头部向右侧旋转时，右侧C5 - C6骨赘导致右侧VA短暂狭窄；当患者将头部转向左侧时，狭窄改善。患者成功接受了C5 - C6 ACDF手术以去除右侧外侧骨赘，术后未再出现右侧VA短暂闭塞。

结论

一名75岁男性因右侧外侧骨赘接受C5 - C6 ACDF手术后，其导致多发后循环栓塞的间歇性右侧VA闭塞得到缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd61/9062892/0f12cc9c3528/SNI-13-115-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd61/9062892/f598e3a4ad97/SNI-13-115-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd61/9062892/ebdc79929131/SNI-13-115-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd61/9062892/28b5cdf6e57d/SNI-13-115-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd61/9062892/b418fb23d8c4/SNI-13-115-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd61/9062892/ed4257ed3b2d/SNI-13-115-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd61/9062892/0f12cc9c3528/SNI-13-115-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd61/9062892/f598e3a4ad97/SNI-13-115-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd61/9062892/ebdc79929131/SNI-13-115-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd61/9062892/28b5cdf6e57d/SNI-13-115-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd61/9062892/b418fb23d8c4/SNI-13-115-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd61/9062892/ed4257ed3b2d/SNI-13-115-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd61/9062892/0f12cc9c3528/SNI-13-115-g006.jpg

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本文引用的文献

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Bow Hunter's Syndrome: Surgical Management (Video) and Review of the Literature.弓猎综合征：手术治疗（视频）及文献综述
World Neurosurg. 2017 Jul;103:953.e7-953.e12. doi: 10.1016/j.wneu.2017.04.101. Epub 2017 Apr 24.
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Bow Hunter's Syndrome from a Tortuous V1 Segment Vertebral Artery Treated with Stent Placement.
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