RT Journal Article
SR Electronic
T1 Republished: Rotational carotid insufficiency: an unusual cause of bow hunter’s syndrome
JF Journal of NeuroInterventional Surgery
JO J NeuroIntervent Surg
FD BMJ Publishing Group Ltd.
SP e9
OP e9
DO 10.1136/neurintsurg-2018-014210.rep
VO 11
IS 11
A1 Kan, Peter
A1 Srivatsan, Aditya
A1 Johnnson, Jeremiah N
A1 Chen, Stephen R
YR 2019
UL http://jnis.bmj.com/content/11/11/e9.abstract
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.