A juvenile case of bow hunter’s syndrome due to a bone fragment from an osteophyte of the atlas

Huang, Shuaihao; Duan, Qifei; Liang, Changxiang; Yin, Dong

doi:10.1007/s13760-023-02201-5

Cited by 1 publication

(1 citation statement)

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“…There are no unified treatment guidelines for bow hunter syndrome. The currently reported treatment methods include conservative, surgical, and interventional treatments [ 4 , 14 , 15 ]. In general, the primary treatment goal for patients with bow hunter syndrome is to reduce or prevent disease recurrence.…”

Section: Discussionmentioning

confidence: 99%

Bilateral Bow Hunter Syndrome Associated with Loss of Cervical Physiological Curvature

Wang,

Bi,

Chen

2024

Am J Case Rep

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Patient: Female, 25-year-old Final Diagnosis: Bow-Hunter syndrome Symptoms: Dizziness • nausea • vertigo • vomiting Clinical Procedure: — Specialty: Neurology • Neurosurgery • Sports Medicine Objective: Rare disease Background: Bow hunter syndrome is a rare disease that is often overlooked. It presents with complex and variable clinical symptoms and causes, making diagnosis and treatment challenging. This case report focuses on a young patient with bilateral bow hunter syndrome, possibly caused by the loss of cervical physiological curvature. The aim is to enhance understanding and awareness of the disease. It is important to consider the possibility of bow hunter syndrome in young patients with long-term poor neck posture and symptoms such as dizziness, nausea, vomiting, and neck rotation-related symptoms. In such cases, thorough examination of posterior circulation hemodynamics and vascular morphology is recommended. Case Report: A 25-year-old woman was admitted to the hospital mainly because of “dizziness for 10 hours.” The dizziness was aggravated when the right side of the neck was turned and the body position changed. This was accompanied by visual rotation, nausea, and vomiting. Bow hunter syndrome was diagnosed based on the clinical symptoms and hemodynamic examination of the posterior circulation. The patient was given a cervical collar to limit excessive twisting of the neck and instructed to avoid large-angle deflection of the neck after discharge. During the 3-month follow-up, no characteristic symptoms (such as dizziness) reappeared. Conclusions: Bow hunter syndrome is a rare clinical posterior circulation compression syndrome with complex etiology. This case suggests that the simple disappearance of cervical curvature may be related to the occurrence of bow hunter syndrome. The dynamic monitoring of blood flow by color Doppler ultrasound and transcranial Doppler in different head positions provides clear clues to suspected bow hunter syndrome. With the help of computed tomography angiography, the diagnosis of bow hunter syndrome may be obtained by noninvasive examination.

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Section: Discussionmentioning

confidence: 99%