Técnica quirúrgica para abordaje mínimamente invasivo para descompresión microvascular en el síndrome de Bow Hunter apoyado con angiografía dinámica

Autor:	Covaleda Rodriguez, Juan, Castro, Oscar, Garcia Garcia, Marco
Přispěvatelé:	Riveros Castillo, William Mauricio
Jazyk:	Spanish; Castilian
Rok vydání:	2017
Předmět:	Síndrome de bow Hunter Minimal invasive approach C1 Descompresión quirúrgica Descompresión Vertebral Arteria Vertebral Bow hunter Syndrome Microsurgical anatomy Insuficiencia Vertebrobasilar Enfermedades Síndrome de oclusión Estenosis rotacional de arteria vertebral
Zdroj:	Tissingtom Tatlow WF, Bammer HG. Syndrome of vertebral artery compression. Neurology 1957;7:331–340. Barton JW, Margolis MT. Rotational obstructions of the vertebral artery at the atlantoaxial joint. Neuroradiology 1975;9(3):117-20. Sorensen BF (1978) Bow hunter’s stroke. Neurosurgery 2: 259–61. Lemole GM, Henn JS, Spetzler RF. Bow Hunter’s stroke. BNI Quarterly 2001;17(2):4-10. Mapstone T, Spetzler RF. Vertebrobasilar insufficiency secondary to vertebral artery occlusion from a fibrous band: case report. J Neurosurg 1982;56(4):581-3. Gregory J. Velat, John F. Reavey. Intraoperative dynamic angiography to detect resolution of Bow Hunter’s syndrome: te-chnical case report. Surgical Neurology 66 (2006) 420 – 423 Cornelius JF, George B, N’Dri Oka D, et al. Bow hunter’s síndrome caused by dynamic vertebral artery stenosis at the craniocervical junction a management algorithm based on a systematic review and a clinical series . Neurosurg Rev 2012 ; 35 : 127 – 35 . Citow JS, Macdonald RL: Posterior decompression of the vertebral artery narrowed by cervical osteophyte: case report. Surg Neurol 51:495–499, 1999. Strupp M, Planck JH, Arbusow V, Steiger HJ, Bruckmann H, Brandt T: Rotational vertebral artery occlusion syndrome with vertigo due to “labyrinthine excitation.” Neurology 54: 1376–1379, 2000 . Kuether TA, Nesbit GM, Clark WM, Barnwell SL (1997) Rotational vertebral artery occlusion: a mechanism of vertebrobasilar insufficiency. Neurosurgery 41(2):427–432, discussion 432–423 SekiT,HidaK,AkinoM,IwasakiY:Anteriordecompressionoftheatlantoaxialvertebral artery to treat bow hunter’s stroke: technical case report. Neurosurgery 49:1474–1476, 2001 Miele VJ, France JC, Rosen CL: Subaxial positional vertebral artery occlusion corrected by decompression and fusion. Spine 33:E366–E370, 2008 Matsuyama T, Morimoto T, Sakaki T (1997) Comparison of C1-2 posterior fusion and decompression of the vertebral ar-tery in the treatment of bow hunter’s stroke. J Neurosurg 86: 619–23. Daniel C. Lu, Nalin Gupta: Minimally invasive decompression of a suboccipital osseous prominence causing rotational vertebral artery occlusion J Neurosurg Pediatrics: 2009; 4: 191-195. SekiT,HidaK,AkinoM,IwasakiY.Anteriordecompressionoftheatlanto-axialvertebral artery to treat bow hunter’s stroke: Technical case report.Neurosurgery 2001; 49: 1474– 1476. Sugiu K, Agari T, Tokunaga.K : Endovascular Treatment for Bow Hunter ’s Syndrome Case Report. Minim Invas Neurosurg 2009; 52: 193-195 Tudor Jovin.Michael Horowitz, MD,* Jovin, Bow Hunter’s Syndrome in the Setting of Contralateral Vertebral Artery Stenosis: Evaluation and Treatment Options Spine.2002; 27 (23) 495–498 Spetzler RF, Hadley MN, Martin NA, Hopkins LN, Carter LP, Budny J Vertebrobasilar insufficiency. Part 1: Microsurgi-cal treatment extracranial vertebrobasilar disease. J Neurosurg 1987; 66: 648–661. Vilela M, Goodkin R, Lundin D, Newell D. Rotational ver-tebrobasilar ischemia: Hemodynamic assessment and surgical treatment. Neurosurgery 56:36-45, 2005. LuDC,ZadorZ,MummaneniPV,LawtonMT,RotationalVertebralArteryOcclusion— Series of 9 Cases. Neurosurgery 67:1066–1072, 2010. NiederstadtC,DrosteS,Reportingandpresentinginformationretrievalprocesses:theneed for optimizing common practivce in health technology assessment. Int J Technol Assess Health Care. 2010;26(4):450-457. UrrútiaG,BonfillX.DeclaraciónPRISMA:unapropuestaparamejorarlapublicaciónde revisiones Sistemáticas y metanálisis. Med Clin (Barc). 2011;135(11): 507–511. Repositorio EdocUR-U. Rosario Universidad del Rosario instacron:Universidad del Rosario
DOI:	10.48713/10336_14480
Popis:	El síndrome de bow Hunter también co- nocido como el síndrome de oclusión o estenosis rotacional de arteria vertebral, es una entidad infre- cuente, caracterizada por insuficiencia vertebroba- silar precipitada por oclusión dinámica de la arteria vertebral con los movimientos de rotación cervical izquierda o derecha. La descompresión quirúrgica entre C1 y C2 a nivel de foramen vertebral en la apófisis trasversa de C1, se realizo a través abordaje mínimamente invasivo como estrategia quirúrgica que permite la descompresión de la arteria verte- bral con mínimo sangrado y disección, asociado a soporte angiográfico intraoperatorio permitiendo identificar la resolución de la patología de manera oportuna. Syndrome bow Hunter is a rare entity characterized by vertebrobasilar insufficiency precipitated by distal occlusion vertebral1 (V2 segment) at C1-C2 to the rotation of the head, which may be accompanied by specific neurological symptoms . From this first report there have been many discussions regarding the handling, always controversial because of its low incidence and reporte. Here we describe a technique for minimally invasive approach made through retractors shell and tubular retractors (spotlight) technique that allows minimal muscle dissection. After an advanced search only one article that met the search criteria focused on managing minimally surgical technique for decompression in Bow Hunter syndrome was documented, so we emphasize the academic relevance of this article to be the first study where experience comes in the management of Bow Hunter syndrome minimally invasive technique supported by intraoperative angiography. A total of 3 patients were documented with bow hunter syndrome, all men, ranging in age between 26 -44 years of age, in all three cases the main symptom was vertigo documenting infarction in the posterior territory in all cases. The diagnosis was made through digital subtraction angiography dynamic digital right and left extreme flexion. The surgical management was the therapeutic option in all cases, of these one was done by Far Side classical approach described in literatura. Cases handled with vascular decompression through minimally invasive approach had shorter recovery. Although the syndrome bow hunter is a rare, in our experience we believe that the minimally invasive approach in good surgical strategy that allows decompression of the vertebral artery with minimal bleeding and dissection, set treatment with angiographic support Intraoperative provides security in case of vascular injury as allows to immediately identify the resolution of the compression.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::4bd8b445e8e0cd1c2f14ddf852a190d3 Zobrazit plný text záznamu