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Juvenile Bow Hunter's Stroke without Hemodynamic Changes.
MedLine Citation:
PMID:  21769247     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Bow hunter's stroke (BHS) is a cerebrovascular disease caused by occlusion of the vertebral artery (VA) on head rotation. BHS is generally associated with hemodynamic changes, often leading to vertebrobasilar insufficiency symptoms, such as vertigo and faintness. Although artery-to-artery embolism has also been proposed as an underlying mechanism, it remains controversial. This report documents a case of BHS without hemodynamic changes. We describe a 26-year-old male patient who had VA occlusion on head rotation and repetitive infarction of thalami. He had an anomalous bypass of the VA and therefore no symptomatic hemodynamic changes. Thus, non-hemodynamic BHS should be considered in juvenile patients with vertebrobasilar stroke.
Authors:
Kozue Saito; Makito Hirano; Toshiaki Taoka; Hiroyuki Nakagawa; Takanori Kitauchi; Masanori Ikeda; Emi Tanizawa; Kimihiko Kichikawa; Satoshi Ueno
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Publication Detail:
Type:  Journal Article     Date:  2010-03-16
Journal Detail:
Title:  Clinical medicine insights. Case reports     Volume:  3     ISSN:  1179-5476     ISO Abbreviation:  Clin Med Insights Case Rep     Publication Date:  2010  
Date Detail:
Created Date:  2011-07-19     Completed Date:  2011-11-10     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  101531893     Medline TA:  Clin Med Insights Case Rep     Country:  New Zealand    
Other Details:
Languages:  eng     Pagination:  1-4     Citation Subset:  -    
Affiliation:
Department of Neurology, Nara Medical University, Kashihara, Nara, Japan.
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