Bow Hunter’s syndrome or stroke is a condition that affects the blood flow to the posterior cerebrum. The vertebral artery becomes stenosed or occluded in severe cases, when the head is turned in a specific manner. When the artery is occluded, the person is experiencing an ischemic stroke. The signs and symptoms of Bow hunter’s syndrome are nausea, 
vomiting, dizziness and decreased level of consciousness. The symptoms may resolve quickly when the head returns to neutral position and the vertebral artery is no longer occluded. An angiography is the “gold standard” for diagnosing the presence of Bow Hunter’s syndrome. The simplest and most non invasive treatment for Bow Hunter’s is to remind the patient to limit of head movement. Surgical intervention is the second treatment option which can include freeing the vertebral artery at the compression site or cervical fusion to limit head movement. The treatment options should be carefully weighed according to the severity of involvement.
vomiting, dizziness and decreased level of consciousness. The symptoms may resolve quickly when the head returns to neutral position and the vertebral artery is no longer occluded. An angiography is the “gold standard” for diagnosing the presence of Bow Hunter’s syndrome. The simplest and most non invasive treatment for Bow Hunter’s is to remind the patient to limit of head movement. Surgical intervention is the second treatment option which can include freeing the vertebral artery at the compression site or cervical fusion to limit head movement. The treatment options should be carefully weighed according to the severity of involvement.
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