{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T21:48:47Z","timestamp":1788817727614,"version":"build-2803163510"},"reference-count":8,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["J NeuroIntervent Surg"],"accepted":{"date-parts":[[2016,11,29]]},"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:p>A 60-year-old man presented with a 10-month history of of stereotypical spells characterized by vertigo, tinnitus, blurred vision, left hemibody numbness, and occasional syncope, precipitated by turning his head leftwards. Cerebral angiography and CT angiography of the head and neck with provocative maneuvers did not demonstrate vertebral artery narrowing. However, there was narrowing of the left internal jugular vein due to extrinsic compression from the sternocleidomastoid with leftward head rotation in the setting of hypoplasia of the right internal jugular vein. The patient underwent a cervical venogram which confirmed the finding. Manometric evaluation demonstrated a gradient of 29\u2005mm\u2005Hg across the stenosis with the head turned leftwards compared with 1\u2005mm\u2005Hg in the neutral position. The patient was treated with myectomies of the left sternocleidomastoid, posterior belly of the digastric, stylohyoid and omohyoid and styloid process removal. Following surgery, the patient reported complete resolution of symptoms. Repeat venography demonstrated resolution of the stenosis and pressure gradient.<\/jats:p>","DOI":"10.1136\/neurintsurg-2016-012827.rep","type":"journal-article","created":{"date-parts":[[2017,1,6]],"date-time":"2017-01-06T22:21:13Z","timestamp":1483741273000},"page":"e28-e28","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":15,"title":["Republished: Moving target: transient rotational stenosis precipitating jugular bow hunter's syndrome"],"prefix":"10.1136","volume":"9","author":[{"given":"Waleed","family":"Brinjikji","sequence":"first","affiliation":[{"name":"Department of Radiology, Mayo Clinic, Rochester, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher S","family":"Graffeo","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Mayo Clinic, Rochester, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Avital","family":"Perry","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Mayo Clinic, Rochester, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Terence","family":"Zimmerman","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Mayo Clinic, Rochester, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey R","family":"Janus","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Mayo Clinic, Rochester, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pearce P","family":"Morris","sequence":"additional","affiliation":[{"name":"Department of Radiology, Mayo Clinic, Rochester, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory D","family":"Cascino","sequence":"additional","affiliation":[{"name":"Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Lanzino","sequence":"additional","affiliation":[{"name":"Rochester, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2017,1,6]]},"reference":[{"key":"2025092913090900000_9.7.e28.1","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1016\/j.wneu.2014.02.027","article-title":"Diagnosis and management of bow hunter's syndrome: 15-year experience at Barrow Neurological Institute","volume":"82","author":"Zaidi","year":"2014","journal-title":"World Neurosurg"},{"key":"2025092913090900000_9.7.e28.2","first-page":"143","article-title":"Reversible left hemispheric ischemia secondary to carotid compression in Eagle syndrome: surgical and CT angiographic correlation","volume":"28","author":"Chuang","year":"2007","journal-title":"AJNR Am J Neuroradiol"},{"key":"2025092913090900000_9.7.e28.3","doi-asserted-by":"crossref","first-page":"403","DOI":"10.2214\/ajr.142.2.403","article-title":"Jugular vein obstruction caused by turning of the head","volume":"142","author":"Gooding","year":"1984","journal-title":"AJR Am J Roentgenol"},{"key":"2025092913090900000_9.7.e28.4","doi-asserted-by":"publisher","DOI":"10.1227\/NEU.0b013e3182333859"},{"key":"2025092913090900000_9.7.e28.5","doi-asserted-by":"crossref","unstructured":"Hulme A , Cooper R . The effects of head position and jugular vein compression (JVC) on intracranial pressure (ICP). A clinical study. 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