Fighter Pilot Syndrome: A Bow Hunter Syndrome Variant Identified With Dynamic Cerebral Angiography.

ABSTRACT:

Background

Dynamic compression of extracranial arteries in the cervicocerebral circulation is a rare phenomenon of ischemic stroke.

Methods

Retrospective chart review.

Results

Here, we present a young fighter pilot who presented with recurrent embolic strokes of undetermined source. He endorsed flying fighter jets for 6 years, during which he was subject to high G-force loads and extensive in-flight head maneuvers. Extensive workup identified dynamic arterial compression of his right vertebral artery, which entered the transverse foramen at the C4 level. Dynamic cerebral angiography was used to reveal the specific vessel location and provocative maneuver leading to dynamic occlusion of his right vertebral artery.

Conclusion

This case highlights the utility of d

SUBMITTER: Choi JW 

PROVIDER: S-EPMC12778496 | biostudies-literature | 2024 May

REPOSITORIES: biostudies-literature