1. < Stroke & Cerebrovascular Diseases

Bow Hunters Syndrome/Stroke-Rotational occlusion of vertebral artery

Posted by ajp2019 @ajp2019, Dec 23, 2019

Is there a Neuro-Surgeon &/or Radiologist at MAYO who has seen/diagnosed/treated this condition? I found this:- Recommended procedure to confirm preliminary diagnosis "- Imaging B-mode transcranial color-coded duplex (TCCD), combines pulsed wave Doppler ultrasound with a cross-sectional view of the area of insonation.
- This allows identification of the arteries in relation to various anatomic locations.
- The color-coded Doppler also depicts the direction of the flow in relation to the probe (transducer) while recording blood flow velocities.
- In TCCD, the angle of insonation can be measured and used to correct the flow velocity measurement.
- A “Power Motion-Mode TCD (PMD/TCD)” will provide multi-gate flow information simultaneously in the power M-mode display.

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jdspouse | @jdspouse | Aug 16, 2023
In reply to @arctic22 "I have had the same thing for years ... comes and goes can turn my head..." + (show)
@arctic22

I have had the same thing for years ... comes and goes can turn my head and almost black out ..2 minutes later do the same movement nothing happens .. finally had one old wise dr. tell me after he could not duplicate it say" it's going to get worse ..or better ... or not change ... but till we could duplicate each time then live with it and adjust your life accordingly" which I have for about 15 years or so .. have bouts of it but if I have a bout I try to make sure not to try testing it to see if I can make it happen again or each time ... if I do that it tends to fade away too much triggering is not good for it also .. was told it was a blood vessel going through an opening in my spine more than likely ..

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We have done the same thing--made adjustments to life as needed. Jerry found one thing affecting this is how far overhead he is reaching. If the upper torso is tight the symptoms happen more rapidly and with more consistency. Recently he experimented with sleeping in the spare room on a softer mattress because he was ill and didn't want to share. We fund the softer mattress doesn't jam his shoulders up during sleep so the next day he is able to do more overhead without problems. When the doctors don't have answers we have always tried to figure it out ourselves. Life after a stroke is anything but "normal" so we are getting used to each day being a new experience with new challenges or a repeat of old ones. At least with the old ones we have more options to deal with them. After his stroke I was told by a wife who had gone through that experience years earlier "Welcome to the new normal--remember at the end of the day it's just a setting on your dryer." Have found that to be sooo true and a smile in the midst of trial never hurts. Thanks for your thoughts and encouragement.

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arctic22 | @arctic22 | Aug 16, 2023
In reply to @jdspouse "We have done the same thing--made adjustments to life as needed. Jerry found one thing affecting..." + (show)
@jdspouse

We have done the same thing--made adjustments to life as needed. Jerry found one thing affecting this is how far overhead he is reaching. If the upper torso is tight the symptoms happen more rapidly and with more consistency. Recently he experimented with sleeping in the spare room on a softer mattress because he was ill and didn't want to share. We fund the softer mattress doesn't jam his shoulders up during sleep so the next day he is able to do more overhead without problems. When the doctors don't have answers we have always tried to figure it out ourselves. Life after a stroke is anything but "normal" so we are getting used to each day being a new experience with new challenges or a repeat of old ones. At least with the old ones we have more options to deal with them. After his stroke I was told by a wife who had gone through that experience years earlier "Welcome to the new normal--remember at the end of the day it's just a setting on your dryer." Have found that to be sooo true and a smile in the midst of trial never hurts. Thanks for your thoughts and encouragement.

Jump to this post

I too had a stroke last year caused by the blood thinner Plavix which I had taken for years stopped working and no one caught it. Yes you have to make adjustments in your life and take what dr's tell you at face value. After a recent surgery ...and re- surgery within 4 weeks I really take that to heart. Don't give up on hope but also try not to dwell on it to the point it becomes your main focus. It's hard for us men as things happen to us in life and we age to admit we can no longer do things as well, quick,or timely as we used to. It's up to the women in our lives to set the pace and keep us from doing dumb things ... lol

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parker8722 | @parker8722 | Dec 13, 2023

Does any know any other surgeons in Minnesota that experience with bow hunters syndrome/ rotational vertebral artery syndrome. I wasn’t able see anyone at Mayo because my case was rejected

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