TY - JOUR T1 - Republished: Rotational carotid insufficiency: an unusual cause of bow hunter’s syndrome JF - Journal of NeuroInterventional Surgery JO - J NeuroIntervent Surg SP - e9 LP - e9 DO - 10.1136/neurintsurg-2018-014210.rep VL - 11 IS - 11 AU - Peter Kan AU - Aditya Srivatsan AU - Jeremiah N Johnnson AU - Stephen R Chen Y1 - 2019/11/01 UR - http://jnis.bmj.com/content/11/11/e9.abstract N2 - 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. ER -