Abstract
We describe a 2-year-old girl with bow hunter syndrome complicated by vertebral artery dissection and multiple ischemic infarcts. Pediatric bow hunter syndrome is a rare and likely under-recognized disorder. Interestingly, our patient had atlanto-occipital ligament calcification on CT scan, an imaging finding that has not been reported in association with bow hunter syndrome and one that might help increase recognition of this dynamic disorder of the posterior circulation.
Keywords:
Atlanto-occipital ligament; Bow hunter syndrome; Calcification; Child; Posterior circulation; Stroke; Vertebral artery.
MeSH terms
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Arterial Occlusive Diseases / complications
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Arterial Occlusive Diseases / diagnostic imaging*
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Arterial Occlusive Diseases / etiology
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Atlanto-Occipital Joint / diagnostic imaging*
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Atlanto-Occipital Joint / pathology
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Calcinosis / diagnostic imaging*
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Child, Preschool
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Computed Tomography Angiography / methods
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Female
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Humans
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Joint Diseases / complications
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Joint Diseases / diagnostic imaging*
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Joint Diseases / pathology
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Ligaments, Articular / diagnostic imaging*
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Ligaments, Articular / pathology
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Magnetic Resonance Angiography / methods
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Vertebral Artery / diagnostic imaging*
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Vertebral Artery / pathology
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Vertebral Artery Dissection / diagnostic imaging
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Vertebral Artery Dissection / etiology