Bow hunter syndrome: A rare yet important etiology of posterior circulation stroke

被引:5
作者
Qashqari, Hebah [1 ]
Bhathal, Ishvinder [1 ]
Pulcine, Elizabeth [1 ]
Muthusami, Prakash [2 ]
Moharir, Mahendranath [1 ]
MacGregor, Daune [1 ]
Kulkarni, Abhaya [3 ]
Dlamini, Nomazulu [1 ]
机构
[1] Hosp Sick Children, Dept Paediat, Div Neurol, Toronto, ON, Canada
[2] Hosp Sick Children, Dept Paediat, Div Diagnost Imaging & Image Guided Therapy, Toronto, ON, Canada
[3] Hosp Sick Children, Dept Paediat, Div Neurosurg, Toronto, ON, Canada
关键词
Pediatric stroke; Posterior circulation; Vertebral artery; Dissection; Rotational vertebral artery syndrome; Vertebrobasilar insufficiency; Bow hunter's syndrome; VERTEBRAL ARTERY-OCCLUSION;
D O I
10.1016/j.jocn.2020.04.110
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
A 6-year-old girl presented with acute-onset headache and fluctuating right-sided weakness. Her PedNIHSS was 13. Brain MRI/MRA showed acute pontine arterial ischemic stroke (AIS) and remote right cerebellar and thalamic infarcts. No antecedent trauma or other stroke risk factors were identified. Clinical suspicion of bow hunter syndrome was raised. CT showed congenital C2-C3 fusion and dynamic angiogram confirmed the diagnosis. The management challenges of this rare condition are discussed below. (C) 2020 Published by Elsevier Ltd.
引用
收藏
页码:418 / 419
页数:2
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