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 Peter Kan A1 Aditya Srivatsan A1 Jeremiah N Johnnson A1 Stephen R Chen 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.