{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T11:48:30Z","timestamp":1772797710360,"version":"3.50.1"},"reference-count":9,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,6,17]]},"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:p>Bow Hunter\u2019s syndrome (BHS) is a rare cause of vertebrobasilar insufficiency and is reported to most commonly be caused by vertebral artery impingement on cervical vertebrae osteophytes. We report a case in a 56-year-old male patient who on investigation of recurrent posterior circulation ischaemic strokes was found to have BHS. The aetiology of the syndrome in this patient is due to a particularly unusual aberrancy in the path of the atlantoaxial portion of the culprit left vertebral artery. Aberrancy of the distal portion of the vertebral artery is in itself a rare entity, and there are few reports of it in relation to BHS. The patient in this case was successfully treated with endovascular sacrifice of the vertebral artery with no further dynamic occlusive symptoms.<\/jats:p>","DOI":"10.1136\/bcr-2019-229584","type":"journal-article","created":{"date-parts":[[2019,7,24]],"date-time":"2019-07-24T07:13:13Z","timestamp":1563952393000},"page":"e229584","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Rare cause of Bow Hunter\u2019s syndrome due to an aberrant course of a vertebral artery"],"prefix":"10.1136","volume":"12","author":[{"given":"Kaishin","family":"Tanaka","sequence":"first","affiliation":[{"name":"Interventional Neuroradiology, Royal North Shore Hospital, Saint Leonards, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brendan","family":"Steinfort","sequence":"additional","affiliation":[{"name":"Neurosurgery, Royal North Shore Hospital, Saint Leonards, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,7,23]]},"reference":[{"key":"2025082708311491000_12.7.e229584.1","first-page":"7","article-title":"Rare etiology of bow hunter\u2019s syndrome and systematic review of literature","volume":"8","author":"Rastogi","year":"2015","journal-title":"J Vasc Interv Neurol"},{"issue":"1-2","key":"2025082708311491000_12.7.e229584.2","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1159\/000444306","article-title":"Advances in the pathogenesis, diagnosis and treatment of bow hunter\u2019s syndrome: a comprehensive review of the literature","volume":"5","author":"Duan","year":"2016","journal-title":"Interv Neurol"},{"key":"2025082708311491000_12.7.e229584.3","doi-asserted-by":"crossref","first-page":"867","DOI":"10.2176\/nmc.39.867","article-title":"Bow hunter\u2019s stroke associated with an aberrant course of the vertebral artery--case report","volume":"39","author":"Shimizu","year":"1999","journal-title":"Neurol Med Chir"},{"key":"2025082708311491000_12.7.e229584.4","doi-asserted-by":"crossref","unstructured":"Grandhi R , Godse N , Williamson RW , et al . Bowhunter\u2019s syndrome. BMJ Case Rep 2015;2015.doi:10.1136\/bcr-2015-210654","DOI":"10.1136\/bcr-2015-210654"},{"key":"2025082708311491000_12.7.e229584.5","doi-asserted-by":"crossref","first-page":"1403","DOI":"10.1212\/WNL.0b013e31823152f9","article-title":"An embolic bow hunter\u2019s stroke associated with anomaly of cervical spine","volume":"77","author":"Sakamoto","year":"2011","journal-title":"Neurology"},{"key":"2025082708311491000_12.7.e229584.6","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(13)70211-4"},{"key":"2025082708311491000_12.7.e229584.7","doi-asserted-by":"publisher","DOI":"10.1055\/s-0029-1239501"},{"key":"2025082708311491000_12.7.e229584.8","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1055\/s-0034-1386751","article-title":"Vertebral artery anomalies at the craniovertebral junction: a case report and review of the literature","volume":"5","author":"Abtahi","year":"2014","journal-title":"Evid Based Spine Care J"},{"key":"2025082708311491000_12.7.e229584.9","doi-asserted-by":"publisher","DOI":"10.1007\/s10143-011-0343-4"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-229584","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T15:31:23Z","timestamp":1756308683000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-229584"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7]]},"references-count":9,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2019,7,23]]},"published-print":{"date-parts":[[2019,7]]}},"alternative-id":["10.1136\/bcr-2019-229584"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-229584","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,7]]}}}