{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T11:21:43Z","timestamp":1783423303516,"version":"3.54.6"},"reference-count":5,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nBow hunter\u2019s syndrome (BHS) is a rare condition induced by occlusion or compression of the vertebral artery (VA) during head movement or rotation. Here, we report a patient with BHS effectively treated with an anterior cervical discectomy and fusion (ACDF).<\/jats:p>\n<\/jats:sec>\n\nCase Description: <\/jats:title>\nA 75-year-old male experienced recurrent embolic strokes to the posterior circulation. This was attributed angiographically to transient stenosis of the right VA due to a right-sided C5-C6 osteophyte when the head was rotated to the right; the stenosis was improved when the patient rotated his head to the left. The patient successfully underwent a C5-C6 ACDF for removal of the right-sided lateral osteophyte which resulted in no further transient right-sided VA occlusion.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nFollowing a C5-C6 ACDF for removal of a right lateral osteophyte, a 75-year-old male\u2019s intermittent right-sided VA occlusion responsible for multiple posterior circulation emboli was relieved.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_172_2022","type":"journal-article","created":{"date-parts":[[2022,3,31]],"date-time":"2022-03-31T09:32:47Z","timestamp":1648719167000},"page":"115","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Bow hunter\u2019s syndrome treated by anterior decompression with fusion: A case report"],"prefix":"10.25259","volume":"13","author":[{"given":"Kazuya","family":"Morita","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Yokohama Sakae Kyosai Hospital, Yokohama,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akira","family":"Tamase","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Yokohama Sakae Kyosai Hospital, Yokohama,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroyuki","family":"Abe","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Yokohama Sakae Kyosai Hospital, Yokohama,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kentaro","family":"Mori","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Yokohama Sakae Kyosai Hospital, Yokohama,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Issei","family":"Fukui","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Yokohama Sakae Kyosai Hospital, Yokohama,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryotaro","family":"Yamashita","sequence":"additional","affiliation":[{"name":"Department of Neurology, Yokohama Sakae Kyosai Hospital, Yokohama,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mutsuki","family":"Takeda","sequence":"additional","affiliation":[{"name":"Department of Neurology, Yokohama Sakae Kyosai Hospital, Yokohama,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatsu","family":"Nakano","sequence":"additional","affiliation":[{"name":"Department of Neurology, Yokohama Sakae Kyosai Hospital, Yokohama,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroshi","family":"Shima","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Shima Neurosurgical Orthopedic Clinic, Kawasaki, Kanagawa, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Motohiro","family":"Nomura","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Yokohama Sakae Kyosai Hospital, Yokohama,"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2022,3,31]]},"reference":[{"key":"10.25259\/SNI_172_2022\/ref-1","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1016\/j.wneu.2017.12.167","article-title":"Bow Hunter\u2019s syndrome by nondominant vertebral artery compression: A case report, literature review, and significance of downbeat nystagmus as the diagnostic clue","volume":"111","author":"Iida","year":"2018","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_172_2022\/ref-2","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_172_2022\/ref-3","doi-asserted-by":"crossref","first-page":"878.e11","DOI":"10.1016\/j.wneu.2016.11.067","article-title":"Bow Hunter\u2019s syndrome from a tortuous V1 segment vertebral artery treated with stent placement","volume":"98","author":"Motiei-Langroudi","year":"2017","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_172_2022\/ref-4","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"},{"key":"10.25259\/SNI_172_2022\/ref-5","doi-asserted-by":"crossref","first-page":"953.e7","DOI":"10.1016\/j.wneu.2017.04.101","article-title":"Bow Hunter\u2019s syndrome: Surgical management (video) and review of the literature","volume":"103","author":"Strickland","year":"2017","journal-title":"World 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