{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T23:00:01Z","timestamp":1769727601988,"version":"3.49.0"},"reference-count":16,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"26","license":[{"start":{"date-parts":[[2024,12,23]],"date-time":"2024-12-23T00:00:00Z","timestamp":1734912000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Cosmet Laser Ther"],"published-print":{"date-parts":[[2024,12,23]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Rotational vertebral artery occlusion, or bow hunter\u2019s syndrome (BHS), is a rare but clinically important cause of vertebrobasilar insufficiency. Extrinsic compression of the artery is usually caused by osteophytes, fibrous bands, or lateral disc herniation and typically occurs in the setting of anatomical variations, leading to dynamic compromise of the posterior circulation. Neoplastic causes of BHS are rare.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>The authors present the case of a 72-year-old man with a left vertebral artery\u2013dominant posterior circulation and isolated small right vertebral artery terminating in the posterior inferior cerebellar artery (PICA). He developed progressively worsening dynamic insufficiency of his right PICA circulation due to compression of the right vertebral artery at C2 from an intradural-extradural dumbbell-shaped lesion. This patient was successfully treated via surgical debulking of the lesion and cervical spine fixation and experienced no neurological deficits postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>This neoplastic change represents an exceedingly rare presentation for BHS, which warrants further study on its etiology and treatment.<\/jats:p>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/thejns.org\/doi\/10.3171\/CASE24415\">https:\/\/thejns.org\/doi\/10.3171\/CASE24415<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case24415","type":"journal-article","created":{"date-parts":[[2024,12,23]],"date-time":"2024-12-23T01:48:49Z","timestamp":1734918529000},"source":"Crossref","is-referenced-by-count":0,"title":["Tumor-induced rotational vertebral artery occlusion in the upper cervical spine: illustrative case"],"prefix":"10.3171","volume":"8","author":[{"given":"Tristan G.","family":"Meier","sequence":"first","affiliation":[{"name":"Mayo Clinic Alix School of Medicine, Jacksonville, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oluwaseun O.","family":"Akinduro","sequence":"additional","affiliation":[{"name":"Mayo Clinic Department of Neurologic Surgery, Jacksonville, Florida"},{"name":"Department of Neurosurgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Radmehr","family":"Torabi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ziya L.","family":"Gokaslan","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"6","key":"bib1","series-title":"Eur Spine J","first-page":"1440","article-title":"Rotational vertebral artery occlusion (\u201cbow hunter syndrome\u201d)","volume":"30","author":"Schulz","year":"2021","unstructured":"Schulz RDonoso RWeissman K. Rotational vertebral artery occlusion (\u201cbow hunter syndrome\u201d). Eur Spine J. 2021;30(6):1440-1450."},{"issue":"4","key":"bib2","series-title":"Neurosurg Focus","first-page":"E7","article-title":"Bow hunter\u2019s syndrome revisited: 2 new cases and literature review of 124 cases","volume":"38","author":"Jost","year":"2015","unstructured":"Jost GFDailey AT. Bow hunter\u2019s syndrome revisited: 2 new cases and literature review of 124 cases. Neurosurg Focus. 2015;38(4):E7."},{"issue":"18","key":"bib3","series-title":"Int J Med Sci","first-page":"3005","article-title":"Clinical importance of the posterior inferior cerebellar artery: a review of the literature","volume":"17","author":"Miao","year":"2020","unstructured":"Miao HLZhang DYWang TJiao XTJiao LQ. Clinical importance of the posterior inferior cerebellar artery: a review of the literature. Int J Med Sci. 2020;17(18):3005-3019."},{"key":"bib4","series-title":"StatPearls","article-title":"Synovial chondromatosis","author":"Habusta","unstructured":"Habusta SFMabrouk ATuck JA. Synovial chondromatosis. In: StatPearls. StatPearls Publishing; 2023. Accessed November 14, 2024. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK470463\/"},{"issue":"2","key":"bib5","series-title":"Asian J Neurosurg","first-page":"367","article-title":"Surgical management of multi-level cervical spine synovial chondromatosis","volume":"16","author":"Mirza","year":"2021","unstructured":"Mirza FAVasquez RA. Surgical management of multi-level cervical spine synovial chondromatosis. Asian J Neurosurg. 2021;16(2):367-371."},{"issue":"5","key":"bib6","series-title":"J Orthop Sci","first-page":"939","article-title":"Bow-hunter\u2019s syndrome due to left C7 schwannoma in a patient with bilateral absence of the posterior inferior cerebellar artery","volume":"24","author":"Mori","year":"2019","unstructured":"Mori MYamahata HYamaguchi S, et al. Bow-hunter\u2019s syndrome due to left C7 schwannoma in a patient with bilateral absence of the posterior inferior cerebellar artery. J Orthop Sci. 2019;24(5):939-944."},{"issue":"7","key":"bib7","series-title":"Neurol Res","first-page":"679","article-title":"Intermittent vertebral artery compression caused by C1-root schwannoma: case report","volume":"22","author":"Kalavakonda","year":"2000","unstructured":"Kalavakonda CSekhar LNJones RVRehaman AB. Intermittent vertebral artery compression caused by C1-root schwannoma: case report. Neurol Res. 2000;22(7):679-684."},{"issue":"4","key":"bib8","series-title":"NMC Case Rep J","first-page":"101","article-title":"Surgical treatment of rotational vertebral artery syndrome induced by spinal tumor: a case report and literature review","volume":"4","author":"Haimoto","year":"2017","unstructured":"Haimoto SNishimura YHara M, et al. Surgical treatment of rotational vertebral artery syndrome induced by spinal tumor: a case report and literature review. NMC Case Rep J. 2017;4(4):101-105."},{"issue":"6","key":"bib1","series-title":"Eur Spine J","first-page":"1440","article-title":"Rotational vertebral artery occlusion (\u201cbow hunter syndrome\u201d)","volume":"30","author":"Schulz","year":"2021","unstructured":"Schulz RDonoso RWeissman K. Rotational vertebral artery occlusion (\u201cbow hunter syndrome\u201d). Eur Spine J. 2021;30(6):1440-1450."},{"issue":"4","key":"bib2","series-title":"Neurosurg Focus","first-page":"E7","article-title":"Bow hunter\u2019s syndrome revisited: 2 new cases and literature review of 124 cases","volume":"38","author":"Jost","year":"2015","unstructured":"Jost GFDailey AT. Bow hunter\u2019s syndrome revisited: 2 new cases and literature review of 124 cases. Neurosurg Focus. 2015;38(4):E7."},{"issue":"18","key":"bib3","series-title":"Int J Med Sci","first-page":"3005","article-title":"Clinical importance of the posterior inferior cerebellar artery: a review of the literature","volume":"17","author":"Miao","year":"2020","unstructured":"Miao HLZhang DYWang TJiao XTJiao LQ. Clinical importance of the posterior inferior cerebellar artery: a review of the literature. Int J Med Sci. 2020;17(18):3005-3019."},{"key":"bib4","series-title":"StatPearls","article-title":"Synovial chondromatosis","author":"Habusta","unstructured":"Habusta SFMabrouk ATuck JA. Synovial chondromatosis. In: StatPearls. StatPearls Publishing; 2023. Accessed November 14, 2024. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK470463\/"},{"issue":"2","key":"bib5","series-title":"Asian J Neurosurg","first-page":"367","article-title":"Surgical management of multi-level cervical spine synovial chondromatosis","volume":"16","author":"Mirza","year":"2021","unstructured":"Mirza FAVasquez RA. Surgical management of multi-level cervical spine synovial chondromatosis. Asian J Neurosurg. 2021;16(2):367-371."},{"issue":"5","key":"bib6","series-title":"J Orthop Sci","first-page":"939","article-title":"Bow-hunter\u2019s syndrome due to left C7 schwannoma in a patient with bilateral absence of the posterior inferior cerebellar artery","volume":"24","author":"Mori","year":"2019","unstructured":"Mori MYamahata HYamaguchi S, et al. Bow-hunter\u2019s syndrome due to left C7 schwannoma in a patient with bilateral absence of the posterior inferior cerebellar artery. 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NMC Case Rep J. 2017;4(4):101-105."}],"container-title":["Journal of Neurosurgery: Case Lessons"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/8\/26\/article-CASE24415.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/8\/26\/article-CASE24415.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/8\/26\/article-CASE24415.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T11:56:55Z","timestamp":1769687815000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/8\/26\/article-CASE24415.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,23]]},"references-count":16,"journal-issue":{"issue":"26"},"URL":"https:\/\/doi.org\/10.3171\/case24415","relation":{},"ISSN":["2694-1902"],"issn-type":[{"value":"2694-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,23]]}}}