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Bow Hunter's syndrome (BHS)
Q. Does endovascular treatment have a role in Bow Hunter’s Syndrome (BHS)?
A. Yes, especially in patient with contralateral vertebral artery stenosis. Angioplasty with and without stent might be enough. For patients with contralateral VA occlusion or hypoplasia, surgery is reasonable. The most common procedures are C1/C2 fusion and vertebral artery decompression.
The data of endovascular treatment for BHS is limited to small case series and case reports with limited long term follow up (2 weeks-14 months). Larger studies with long term follow up are needed to confirm the efficacy.
Reference
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Hunter's Syndrome from a Tortuous V1 Segment Vertebral Artery Treated with Stent Placement. World Neurosurg. 2017;98:878.e11-878.e15.
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