TY  - JOUR
PY  - 2016//
TI  - Juvenile cerebral infarction caused by bow hunter's syndrome during sport: two case reports
JO  - Neurologia medico-chirurgica
A1  - Kageyama, Hiroto
A1  - Yoshimura, Shinichi
A1  - Iida, Tomoko
A1  - Shirakawa, Manabu
A1  - Uchida, Kazutaka
A1  - Tomogane, Yusuke
A1  - Miyaji, Yuki
SP  - 580
EP  - 583
VL  - 56
IS  - 9
N2  - We report two cases of juvenile cerebral infarction caused by bow hunter's syndrome (BHS) during sport. Case 1 was a 17-year-old male who developed a partial visual field defect after playing basketball. BHS was diagnosed because cervical ultrasonography demonstrated occlusion of the vertebral artery when the neck was rotated. After C1-2 posterior fixation was performed, his symptoms resolved. Case 2 was an 18-year-old male with recurrent visual disturbance after playing handball. Cerebral infarction occurred repeatedly despite antiplatelet therapy. After 3 years, vertebral artery dissection was diagnosed and stenting was performed, but his symptoms did not resolve. BHS was diagnosed when he was examined at our department. C1-2 posterior fixation was performed and his symptoms resolved. In these two cases, BHS was caused by sporting activity. For accurate diagnosis and treatment of BHS, neuroimaging with cervical rotation is mandatory.<p />  <p>Language: en</p>
LA  - en
SN  - 0470-8105
UR  - http://dx.doi.org/10.2176/nmc.cr.2015-0351
ID  - ref1
ER  -