Vertebral Artery Stenosis Caused by Cervical Osteophyte: A Rare and Reversible Cause of Vertebrobasilar Insufficiency. Case Report
Bow Hunter syndrome manifests when the vertebral artery is compressed following head rotation. Symptomatic compression with vertebral artery stenosis due to cervical osteophytes is a rare cause and occurs due to a progressive degenerative process. In most cases, compression originates anteromedially...
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| Format: | Article |
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Thieme Revinter Publicações Ltda.
2024-12-01
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| Series: | Brazilian Neurosurgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1795135 |
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| author | Pedro Nogarotto Cembraneli Julia Brasileiro de Faria Cavalcante Renata Brasileiro de Faria Cavalcante Italo Nogarotto Cembraneli Leonardo Taveira Lopes José Edison da Silva Cavalcante Alessandro Fonseca Cardoso Chrystiano Fonseca Cardoso Marco Antônio Zanini |
| author_facet | Pedro Nogarotto Cembraneli Julia Brasileiro de Faria Cavalcante Renata Brasileiro de Faria Cavalcante Italo Nogarotto Cembraneli Leonardo Taveira Lopes José Edison da Silva Cavalcante Alessandro Fonseca Cardoso Chrystiano Fonseca Cardoso Marco Antônio Zanini |
| author_sort | Pedro Nogarotto Cembraneli |
| collection | DOAJ |
| description | Bow Hunter syndrome manifests when the vertebral artery is compressed following head rotation. Symptomatic compression with vertebral artery stenosis due to cervical osteophytes is a rare cause and occurs due to a progressive degenerative process. In most cases, compression originates anteromedially from the uncinate process and is asymptomatic due to the competence of the contralateral vertebral artery. In the described patient, compression presented superomedially due to osteophytes in the superior articular facet of the C5 vertebra, and the contralateral vertebral artery was obstructed. Careful evaluation with imaging, mainly preoperative 3D angiotomography, is necessary to determine the most beneficial approach for decompression. The treatment of choice for symptomatic compression induced by cervical spondylosis is decompression surgery. |
| format | Article |
| id | doaj-art-50eb3cc779024c30b40b84ebe3cae5f5 |
| institution | Kabale University |
| issn | 0103-5355 2359-5922 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Brazilian Neurosurgery |
| spelling | doaj-art-50eb3cc779024c30b40b84ebe3cae5f52024-12-11T23:51:39ZengThieme Revinter Publicações Ltda.Brazilian Neurosurgery0103-53552359-59222024-12-014304e365e36810.1055/s-0044-1795135Vertebral Artery Stenosis Caused by Cervical Osteophyte: A Rare and Reversible Cause of Vertebrobasilar Insufficiency. Case ReportPedro Nogarotto Cembraneli0https://orcid.org/0000-0002-2512-7046Julia Brasileiro de Faria Cavalcante1Renata Brasileiro de Faria Cavalcante2Italo Nogarotto Cembraneli3Leonardo Taveira Lopes4José Edison da Silva Cavalcante5Alessandro Fonseca Cardoso6Chrystiano Fonseca Cardoso7Marco Antônio Zanini8Department of Neurosurgery, Hospital de Neurologia Santa Mônica, Goiânia, GO, BrazilDepartment of Neurosurgery, Hospital de Neurologia Santa Mônica, Goiânia, GO, BrazilDepartment of Neurosurgery, Hospital de Neurologia Santa Mônica, Goiânia, GO, BrazilUniversity of Medicine, Centro Universitário de Mineiros, Mineiros, GO, BrazilDepartment of Neurosurgery, Hospital de Neurologia Santa Mônica, Goiânia, GO, BrazilDepartment of Neurosurgery, Hospital de Neurologia Santa Mônica, Goiânia, GO, BrazilDepartment of Neurosurgery, Hospital de Neurologia Santa Mônica, Goiânia, GO, BrazilDepartment of Neurosurgery, Hospital de Neurologia Santa Mônica, Goiânia, GO, BrazilDepartment of Neurosurgery, São Paulo State University, Botucatu, SP, BrazilBow Hunter syndrome manifests when the vertebral artery is compressed following head rotation. Symptomatic compression with vertebral artery stenosis due to cervical osteophytes is a rare cause and occurs due to a progressive degenerative process. In most cases, compression originates anteromedially from the uncinate process and is asymptomatic due to the competence of the contralateral vertebral artery. In the described patient, compression presented superomedially due to osteophytes in the superior articular facet of the C5 vertebra, and the contralateral vertebral artery was obstructed. Careful evaluation with imaging, mainly preoperative 3D angiotomography, is necessary to determine the most beneficial approach for decompression. The treatment of choice for symptomatic compression induced by cervical spondylosis is decompression surgery.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1795135vertebral arteryvertebrobasilar insufficiencyosteophyteBow Hunter's Syndromeartéria vertebralinsuficiência vertebrobasilarosteófitoSíndrome de Bow Hunter |
| spellingShingle | Pedro Nogarotto Cembraneli Julia Brasileiro de Faria Cavalcante Renata Brasileiro de Faria Cavalcante Italo Nogarotto Cembraneli Leonardo Taveira Lopes José Edison da Silva Cavalcante Alessandro Fonseca Cardoso Chrystiano Fonseca Cardoso Marco Antônio Zanini Vertebral Artery Stenosis Caused by Cervical Osteophyte: A Rare and Reversible Cause of Vertebrobasilar Insufficiency. Case Report Brazilian Neurosurgery vertebral artery vertebrobasilar insufficiency osteophyte Bow Hunter's Syndrome artéria vertebral insuficiência vertebrobasilar osteófito Síndrome de Bow Hunter |
| title | Vertebral Artery Stenosis Caused by Cervical Osteophyte: A Rare and Reversible Cause of Vertebrobasilar Insufficiency. Case Report |
| title_full | Vertebral Artery Stenosis Caused by Cervical Osteophyte: A Rare and Reversible Cause of Vertebrobasilar Insufficiency. Case Report |
| title_fullStr | Vertebral Artery Stenosis Caused by Cervical Osteophyte: A Rare and Reversible Cause of Vertebrobasilar Insufficiency. Case Report |
| title_full_unstemmed | Vertebral Artery Stenosis Caused by Cervical Osteophyte: A Rare and Reversible Cause of Vertebrobasilar Insufficiency. Case Report |
| title_short | Vertebral Artery Stenosis Caused by Cervical Osteophyte: A Rare and Reversible Cause of Vertebrobasilar Insufficiency. Case Report |
| title_sort | vertebral artery stenosis caused by cervical osteophyte a rare and reversible cause of vertebrobasilar insufficiency case report |
| topic | vertebral artery vertebrobasilar insufficiency osteophyte Bow Hunter's Syndrome artéria vertebral insuficiência vertebrobasilar osteófito Síndrome de Bow Hunter |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1795135 |
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