C1–C2 transverse foramen decompression by anterolateral approach as an alternative treatment in Bow Hunter's Syndrome

Bow hunter's syndrome (BHS) is characterized with repeating paroxysmal vertigo, nystagmus and ataxia caused by mechanical compression of the vertebral arteries. There is no definite diagnostic and treatment protocol. 26-year-old female patient admitted to the outpatient clinic with complaints of dizziness and seldom falls. Stenosis in the right vertebral artery at the level of C1 and C2 was discovered by the diagnostic modalities. In our patient, we first performed hemilaminectomy by posterior approach. But the symptoms of the patient did not recede, thus we performed decompression with the anterolateral approach by opening the foramens atlas and axis without disrupting the dynamics of the vertebrae and without the need for stabilization. The symptoms of the patient disappeared after this intervention. The patient had complete relief of symptoms at the first year follow up. Surgery must be planned to preserve the life quality of the patient and relieve complaints of the patients. To achieve these goals anterolateral approach must be tried before attempting posterior stabilization.

Location
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Englisch

Bibliographic citation
C1–C2 transverse foramen decompression by anterolateral approach as an alternative treatment in Bow Hunter's Syndrome ; volume:13 ; number:02 ; year:2018 ; pages:411-413
Asian journal of neurosurgery ; 13, Heft 02 (2018), 411-413

Contributor
Cevik, Serdar
Katar, Salim
Hanımoǧlu, Hakan

DOI
10.4103/ajns.AJNS_338_16
URN
urn:nbn:de:101:1-2022112411072202161044
Rights
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Last update
15.08.2025, 7:24 AM CEST

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Associated

  • Cevik, Serdar
  • Katar, Salim
  • Hanımoǧlu, Hakan

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