Tuesday, April 21, 2009

Bow Hunter's Syndrome

What is it?

Bow Hunter's Syndrome, most commonly referred to as just Hunter's Syndrome, is an uncommon occlusion of one or both of the arteries supplying blood to the back of the brain. The arteries at the level of C1-C2 supplying blood to the brainstem and cerebellum can become narrowed or obstructed, resulting in reduced blood flow to the posterior brain; so it is known to be a type of ischemic stroke. It usually results when a person turns their head to one side by force and the vertebral arteries in the posterior upper neck become symptomatically blocked.






How is it diagnosed?

Physicians can determine if a person may have Bow Hunter's syndrome if the patient has problems when rotating their head in one or both directions. Problems can include vertigo and a tingling feeling in the neck and arms. Radiologic exams normally indicated for Hunter's syndrome include an angiogram, CT or MRI of the brain and/or cervical spine, or an MRA.



How is it treated?
Treatment for Hunter's syndrome focuses on relieving strain and pressure of the vertebral arteries when moving the head. Most commonly, surgery or a neck brace is indicated.



References:

2 comments:

  1. Bow Hunter's Syndrome and Hunters Syndrome are two entirely unrelated conditions. Here you describe Bow Hunter's. Hunters Syndrome, also called MPS II, is a metabolic disorder in which the body is unable to break down complex carbohydrates, resulting in multiple organ deterioration and usually early death. Transmission is x-recessive. The photo in your article is of a gentleman with classic Hunters Syndrome features.

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