2025 Proffered Presentations
V028: VERTEBRAL ARTERY DECOMPRESSION FOR THE MANAGEMENT OF BOW HUNTER'S SYNDROME
Hussam Abou-Al-Shaar, MD; Arka N Mallela, MD, MS; Paul A Gardner, MD; University of Pittsburgh Medical Center
A 46-year-old male presenting with dizziness and presyncope upon right head turn. Neurological examination was unremarkable. Computed tomography angiogram and digital subtraction angiography with right head flexion depicted severe right V2 segment vertebral artery stenosis secondary to facet hypertrophy that is relieved in neutral position. He underwent a right posterior transcervical approach for decompression of the vertebral artery in the transverse foramen at C2 and C3. The patient tolerated the procedure and his symptoms resolved.