Bow hunter's syndrome (BHS) causes vertebrobasilar insufficiency when head rotation compresses the vertebral artery (VA). 1,2 Although classically craniocervical, subaxial cases from osteophytic V2 compression lack standardized management with treatments ranging from decompression to stenting....
No actionable change for audiologists; this neurosurgical case report describes an imaging technique for a rare vascular condition that may present with auditory/vestibular symptoms but is managed surgically.
Bow Hunter's Syndrome can mimic inner ear disorders, so audiologists and neurotologists should be aware of this rare vascular diagnosis when patients report position-dependent dizziness or sudden auditory symptoms.
- 01Bow Hunter's Syndrome causes vertebrobasilar insufficiency (reduced brain blood flow) triggered by head rotation.
- 02Intraoperative 2D and 3D angiography (blood vessel imaging during surgery) guided cervical decompression.
- 03Condition can present with auditory/vestibular symptoms, making differential diagnosis relevant for audiologists.
- 04This is a single case report — the lowest level of clinical evidence.
- 05Published in World Neurosurgery; peripheral to core audiology practice.
Intraoperative 2D/3D angiography is feasible and useful for guiding cervical decompression in sub-axial Bow Hunter's Syndrome.
studypartially supported- PMID
- 42285408
- DOI
- 10.1016/j.wneu.2026.125125.
- Journal
- World Neurosurgery
- Publication type
- case_report
- Evidence level
- 4
- Sample size
- 1
- Population
- Patient(s) with sub-axial Bow Hunter's Syndrome undergoing cervical decompression
- Intervention
- Intraoperative high-resolution 2D and 3D angiography during cervical decompression surgery
Primary outcomes
Surgical feasibility and safety of intraoperative angiography; Vascular patency confirmed intraoperatively