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Clinical response to surgical decompression in atypical pediatric Bow Hunter's syndrome suggesting alternative pathophysiology: Case report

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dc.contributor.author Pirozzi Chiusa, Christian
dc.contributor.author Pinto, Martín
dc.contributor.author Ferrario, Ángel
dc.contributor.author Ruella, Mauro
dc.contributor.author Routaboul, Carlos
dc.date.accessioned 2023-01-23T12:09:52Z
dc.date.available 2023-01-23T12:09:52Z
dc.date.issued 2022-11
dc.identifier.citation Pirozzi Chiusa C, Pinto MR, Ferrario A, Ruella M, Routaboul C. Clinical response to surgical decompression in atypical pediatric Bow Hunter's syndrome suggesting alternative pathophysiology: Case report. Childs Nerv Syst. 2022 Nov;38(11):2199-2203. doi: 10.1007/s00381-022-05519-2. Epub 2022 May 10. es_ES
dc.identifier.uri https://doi.org/10.1007/s00381-022-05519-2
dc.identifier.uri https://repositorio.fleni.org.ar/xmlui/handle/123456789/782
dc.description.abstract Bow Hunter's syndrome is a rare cause of posterior circulation ischemia, produced by the mechanical and reversible occlusion of the vertebral artery during cephalic rotation. Diagnosis requires clinical suspicion and careful inspection of images with three-dimensional reconstruction. The study of choice is dynamic digital subtraction angiography (DSA). Treatment alternatives are: medical, surgical or endovascular. We report the case of an 8-year-old boy with recurrent infarctions of the posterior circulation secondary to the dissection of the vertebral artery, in association with an occipital bone spur. Dynamic DSA was negative. Conservative initial management was elected with cervical immobilization and anticoagulation, but due to persistence of symptoms, surgical decompression was decided. The patient did not repeat symptoms postoperatively and returned to his usual life. This is the first case reported to our knowledge of a surgical pediatric patient with asymptomatic atypical compression of VA secondary to BHS, whose dynamic angiography was negative, suggesting an alternative mechanism of the syndrome. es_ES
dc.language.iso eng es_ES
dc.publisher Springer International es_ES
dc.rights info:eu-repo/semantics/openAccess
dc.rights.uri https://creativecommons.org/licenses/by/2.5/ar/
dc.subject Ataque Isquémico Transitorio es_ES
dc.subject Ischemic Attack, Transient es_ES
dc.subject Angiografía es_ES
dc.subject Angiography es_ES
dc.title Clinical response to surgical decompression in atypical pediatric Bow Hunter's syndrome suggesting alternative pathophysiology: Case report es_ES
dc.type info:eu-repo/semantics/article es_ES
dc.type info:eu-repo/semantics/publishedVersion
dc.description.fil Fil: Pirozzi Chiusa, Christian. Fleni. Departamento de Neurocirugía. Servicio de Neurocirugía Infantil; Argentina.
dc.description.fil Fil: Pinto, Martín. Fleni. Departamento de Neurocirugía. Servicio de Neurocirugía Infantil; Argentina.
dc.description.fil Fil: Ferrario, Ángel. Fleni. Departamento de Neurocirugía. Servicio de Neurorradiología intervencionista; Argentina.
dc.description.fil Fil: Ruella, Mauro. Fleni. Departamento de Neurocirugía; Argentina.
dc.description.fil Fil: Routaboul, Carlos. Fleni. Departamento de Neurocirugía. Servicio de Neurocirugía Infantil; Argentina.
dc.relation.ispartofVOLUME 38
dc.relation.ispartofNUMBER 11
dc.relation.ispartofPAGINATION 2199-2203.
dc.relation.ispartofCOUNTRY Alemania
dc.relation.ispartofCITY Berlín
dc.relation.ispartofTITLE Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery
dc.relation.ispartofISSN 1433-0350
dc.type.snrd info:ar-repo/semantics/artículo es_ES


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