New diagnostic algorithm for detection of covert Bow Hunter's Syndrome

Int J Med Sci. 2021 Mar 19;18(10):2162-2165. doi: 10.7150/ijms.56442. eCollection 2021.

Abstract

Bow hunter's syndrome (BHS) should not be overlooked as a cause of cerebral infarction in the posterior circulation. However, covert BHS, which does not impair blood flow with simple rotation but only at certain angles, may make the diagnosis of BHS difficult. We propose a new algorithm to detect BHS or covert BHS. We recommend that BHS and covert BHS be detected by noninvasive duplex ultrasonography, which will allow for appropriate treatment.

Keywords: algorithm; bow hunter's syndrome; covert bow hunter's syndrome; diagnosis.

Publication types

  • Review

MeSH terms

  • Algorithms
  • Blood Flow Velocity
  • Cerebral Infarction / etiology
  • Cerebral Infarction / prevention & control
  • Humans
  • Patient Positioning / methods*
  • Rotation / adverse effects
  • Ultrasonography, Doppler / methods*
  • Vertebral Artery / abnormalities*
  • Vertebral Artery / diagnostic imaging
  • Vertebrobasilar Insufficiency / diagnosis*
  • Vertebrobasilar Insufficiency / etiology