PT - JOURNAL ARTICLE AU - Peter Kan AU - Aditya Srivatsan AU - Jeremiah N Johnnson AU - Stephen R Chen TI - Republished: Rotational carotid insufficiency: an unusual cause of bow hunter’s syndrome AID - 10.1136/neurintsurg-2018-014210.rep DP - 2019 Nov 01 TA - Journal of NeuroInterventional Surgery PG - e9--e9 VI - 11 IP - 11 4099 - http://jnis.bmj.com/content/11/11/e9.short 4100 - http://jnis.bmj.com/content/11/11/e9.full SO - J NeuroIntervent Surg2019 Nov 01; 11 AB - 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.