Republished: Rotational carotid insufficiency: an unusual cause of bow hunter's syndrome

Peter Kan, Aditya Srivatsan, Jeremiah N. Johnnson, Stephen R. Chen

Research output: Contribution to journalArticle

Abstract

We report an unusual case in which physiologic neck rotation impeded perfusion through the internal carotid artery. The patient had a history of prior radical neck surgery and radiation for malignancy. He presented withbow hunter's-like symptoms with transient loss of consciousness and right-sided weakness with left lateral neck rotation. A self-expanding peripheral stent was successfully used to treat the patient by preventing rotatory carotid compression. In select patients with prior neck surgery and radiation, carotid injections should be part of a dynamic cerebral angiogram if the vertebral arteries are unremarkable.

Original languageEnglish (US)
Pages (from-to)e9
JournalJournal of neurointerventional surgery
Volume11
Issue number11
DOIs
StatePublished - Nov 1 2019
Externally publishedYes

Keywords

  • artery
  • blood flow
  • intervention
  • neck
  • stent

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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