Endoscopic decompression of a C1 osteophyte causing bow hunter’s syndrome in a 22-year-old male

Zachary A. Abecassis; John I. Ogunlade; Whitney Teagle; Guilherme Barros; Christine Park; Michael R. Levitt; Christoph P. Hofstetter

doi:10.3171/2024.1.FOCVID23234

Endoscopic decompression of a C1 osteophyte causing bow hunter’s syndrome in a 22-year-old male

Zachary A. Abecassis, John I. Ogunlade, Whitney Teagle, Guilherme Barros, Christine Park, Michael R. Levitt, Christoph P. Hofstetter

Research output: Contribution to journal › Article › peer-review

Abstract

The patient is a 22-year-old male with a history of C1 avulsion fracture causing vertebral artery compression with pseudoaneurysm and symptomatic stroke. Cerebral angiography demonstrated dynamic compression of the V3 segment of the vertebral artery due to a chronic C1 avulsion fracture. The authors utilized a full endoscopic approach with intraoperative angiography for proximal control and Doppler ultrasound to confirm adequate decompression. The surgery duration was 3 hours with blood loss < 5 ml. The patient was discharged on postoperative day 1 with no complication and has been asymptomatic since surgery. This is the first documented use of endoscopic decompression to treat this condition.

Original language	English
Article number	V16
Journal	Neurosurgical Focus: Video
Volume	10
Issue number	2
DOIs	https://doi.org/10.3171/2024.1.FOCVID23234
State	Published - Apr 2024

Keywords

bow hunter’s syndrome
endoscopic spine
vertebral artery compression

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10.3171/2024.1.FOCVID23234

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title = "Endoscopic decompression of a C1 osteophyte causing bow hunter{\textquoteright}s syndrome in a 22-year-old male",

abstract = "The patient is a 22-year-old male with a history of C1 avulsion fracture causing vertebral artery compression with pseudoaneurysm and symptomatic stroke. Cerebral angiography demonstrated dynamic compression of the V3 segment of the vertebral artery due to a chronic C1 avulsion fracture. The authors utilized a full endoscopic approach with intraoperative angiography for proximal control and Doppler ultrasound to confirm adequate decompression. The surgery duration was 3 hours with blood loss < 5 ml. The patient was discharged on postoperative day 1 with no complication and has been asymptomatic since surgery. This is the first documented use of endoscopic decompression to treat this condition.",

keywords = "bow hunter{\textquoteright}s syndrome, endoscopic spine, vertebral artery compression",

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AU - Abecassis, Zachary A.

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AU - Teagle, Whitney

AU - Barros, Guilherme

AU - Park, Christine

AU - Levitt, Michael R.

AU - Hofstetter, Christoph P.

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N2 - The patient is a 22-year-old male with a history of C1 avulsion fracture causing vertebral artery compression with pseudoaneurysm and symptomatic stroke. Cerebral angiography demonstrated dynamic compression of the V3 segment of the vertebral artery due to a chronic C1 avulsion fracture. The authors utilized a full endoscopic approach with intraoperative angiography for proximal control and Doppler ultrasound to confirm adequate decompression. The surgery duration was 3 hours with blood loss < 5 ml. The patient was discharged on postoperative day 1 with no complication and has been asymptomatic since surgery. This is the first documented use of endoscopic decompression to treat this condition.

AB - The patient is a 22-year-old male with a history of C1 avulsion fracture causing vertebral artery compression with pseudoaneurysm and symptomatic stroke. Cerebral angiography demonstrated dynamic compression of the V3 segment of the vertebral artery due to a chronic C1 avulsion fracture. The authors utilized a full endoscopic approach with intraoperative angiography for proximal control and Doppler ultrasound to confirm adequate decompression. The surgery duration was 3 hours with blood loss < 5 ml. The patient was discharged on postoperative day 1 with no complication and has been asymptomatic since surgery. This is the first documented use of endoscopic decompression to treat this condition.

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Endoscopic decompression of a C1 osteophyte causing bow hunter’s syndrome in a 22-year-old male

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