{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T07:15:50Z","timestamp":1771571750891,"version":"3.50.1"},"reference-count":7,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n Background:<\/jats:title>\n Bow Hunter\u2019s syndrome (BHS) is typically defined as transient compression of the vertebral artery (VA) during head rotation. Subaxial and postoperative variants are extremely rare.<\/jats:p>\n <\/jats:sec>\n \n Case Description:<\/jats:title>\n A 50-year-old male with ankylosing spondylitis developed dizziness and syncope following posterior cervical surgery. His symptoms were triggered not by head rotation but by assuming an upright sitting posture. Imaging demonstrated malalignment at the C4\u20135 level with the formation of a VA loop. Multilevel anterior cervical discectomy and fusion corrected the deformity, restored vertebrobasilar flow, and led to complete clinical recovery.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n A 50-year-old male presents with a rare postoperative subaxial variant of BHS provoked by assuming an upright position rather than head rotation. Subaxial VA compression, as highlighted here, should be considered in the differential diagnosis of patients presenting with posture-related dizziness or syncope after posterior cervical surgery.<\/jats:p>\n <\/jats:sec>","DOI":"10.25259\/sni_1313_2025","type":"journal-article","created":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T06:53:02Z","timestamp":1771570382000},"page":"99","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Postoperative subaxial Bow Hunter\u2019s syndrome: A rare case triggered by upright posture"],"prefix":"10.25259","volume":"17","author":[{"given":"Ferdi","family":"Af\u015fin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet Said","family":"\u00c7il","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yunus Emre","family":"Batman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bahad\u0131r","family":"Topal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u0130lhan","family":"Y\u0131lmaz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2026,2,20]]},"reference":[{"key":"10.25259\/SNI_1313_2025\/ref-1","doi-asserted-by":"crossref","first-page":"714","DOI":"10.3171\/2014.3.SPINE13452","article-title":"Rotational vertebral artery occlusion secondary to adjacent-level degeneration following anterior cervical discectomy and fusion","volume":"20","author":"Buchanan","year":"2014","journal-title":"J Neurosurg Spine"},{"key":"10.25259\/SNI_1313_2025\/ref-2","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1007\/s10143-011-0343-4","article-title":"Bow-hunter\u2019s syndrome caused by dynamic vertebral artery stenosis at the cranio-cervical junction--a management algorithm based on a systematic review and a clinical series","volume":"35","author":"Cornelius","year":"2012","journal-title":"Neurosurg Rev"},{"key":"10.25259\/SNI_1313_2025\/ref-3","first-page":"1010","article-title":"Bow hunter\u2019s syndrome after cervical laminoplasty in a patient with rheumatoid arthritis with bony ankylosis in the cervical spine: A case report","volume":"17","author":"Dohzono","year":"2020","journal-title":"Neurospine"},{"key":"10.25259\/SNI_1313_2025\/ref-4","doi-asserted-by":"crossref","first-page":"410","DOI":"10.13004\/kjnt.2022.18.e63","article-title":"Rotational vertebral artery syndrome (bow hunter\u2019s syndrome): A rare differential diagnosis in patients with syncope","volume":"18","author":"Hong","year":"2022","journal-title":"Korean J Neurotrauma"},{"key":"10.25259\/SNI_1313_2025\/ref-5","doi-asserted-by":"crossref","first-page":"E7","DOI":"10.3171\/2015.1.FOCUS14791","article-title":"Bow hunter\u2019s syndrome revisited: 2 new cases and literature review of 124 cases","volume":"38","author":"Jost","year":"2015","journal-title":"Neurosurg Focus"},{"key":"10.25259\/SNI_1313_2025\/ref-6","doi-asserted-by":"crossref","first-page":"101525","DOI":"10.1016\/j.neuchi.2023.101525","article-title":"Vertebral artery stenosis from osteophyte: A systematic review and case series","volume":"70","author":"Ndongo Sonfack","year":"2024","journal-title":"Neurochirurgie"},{"key":"10.25259\/SNI_1313_2025\/ref-7","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1227\/00006123-197805000-00013","article-title":"Bow hunter\u2019s stroke","volume":"2","author":"Sorensen","year":"1978","journal-title":"Neurosurgery"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/postoperative-subaxial-bow-hunters-syndrome-a-rare-case-triggered-by-upright-posture\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/postoperative-subaxial-bow-hunters-syndrome-a-rare-case-triggered-by-upright-posture\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T06:53:03Z","timestamp":1771570383000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/postoperative-subaxial-bow-hunters-syndrome-a-rare-case-triggered-by-upright-posture\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,20]]},"references-count":7,"alternative-id":["10.25259\/SNI_1313_2025"],"URL":"https:\/\/doi.org\/10.25259\/sni_1313_2025","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2026,2,20]]},"article-number":"99"}}