Bow Hunter's Stroke Caused by a Severe Facet Hypertrophy of C1-2

被引:9
作者
Chough, Chung Kee [1 ]
Cheng, Boyle C. [2 ]
Welch, William C. [3 ]
Park, Chun Kun [4 ]
机构
[1] Catholic Univ Korea, Dept Neurosurg, Coll Med, St Marys Hosp, Seoul 150713, South Korea
[2] Univ Pittsburgh, Dept Neurol Surg, Pittsburgh, PA 15260 USA
[3] Univ Penn, Dept Neurol Surg, Philadelphia, PA 19104 USA
[4] Catholic Univ Korea, Dept Neurosurg, Coll Med, Seoul St Marys Hosp, Seoul 150713, South Korea
关键词
Bow hunter's stroke; Facet joint; Hypertrophy; C1-2; fusion; ATLANTOAXIAL VERTEBRAL ARTERY; ROTATIONAL OBSTRUCTION; CERVICAL SPONDYLOSIS; DECOMPRESSION; OCCLUSION; FUSION; NECK; INSUFFICIENCY; COMPRESSION;
D O I
10.3340/jkns.2010.47.2.134
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Bow hunter's stroke is a rare symptomatic vertebrobasilar insufficiency in which vertebral artery (VA) is mechanically occluded during head rotation. Various pathologic conditions have been reported as causes of bow hunter's stroke. However, bow hunter's stroke caused by facet hypertrophy of C1-2 has not been reported. A 71-year-old woman presented with symptoms of vertebrobasilar insufficiency. Spine computed tomography showed massive facet hypertrophy on the left side of C1-2 level. A VA angiogram with her head rotated to the right revealed significant stenosis of left VA. C1-2 posterior fixation and fusion was performed to prevent serious neurologic deficit from vertebrobasilar stroke.
引用
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页码:134 / 136
页数:3
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