• Satoshi Miyamoto, Mikito Hayakawa, Sho Okune, Ryosuke Shintoku, Akinari Yamano, Takato Hiramine, Toshihide Takahashi, Hisayuki Hosoo, Yoshiro Ito, Aiki Marushima, Masao Koda, Eiichi Ishikawa, and Yuji Mats... more umaru. less
• Department of Stroke and Cerebrovascular Diseases, University of Tsukuba Hospital, Japan.
• Intern. Med. 2024 Jan 15; 63 (2): 327331327-331.

AbstractHidden bow hunter's syndrome (HBHS) is a rare disease in which the vertebral artery (VA) occludes in a neutral position but recanalizes in a particular neck position. We herein report an HBHS case and assess its characteristics through a literature review. A 69-year-old man had repeated posterior-circulation infarcts with right VA occlusion. Cerebral angiography showed that the right VA was recanalized only with neck tilt. Decompression of the VA successfully prevented stroke recurrence. HBHS should be considered in patients with posterior circulation infarction with an occluded VA at its lower vertebral level. Diagnosing this syndrome correctly is important for preventing stroke recurrence.

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