Acute Traumatic Stroke:
A Case of Bow Hunter's Stroke in a Child

This section is compiled by Frank M. Painter, D.C.
Send all comments or additions to:    Frankp@chiro.org

FROM:   Eur J Emerg Med 1998 (Jun); 5 (2): 259–263

Duval EL, Van Coster R, Verstraeten K

Department of Paediatrics,
University of Ghent, Belgium

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Acute traumatic stroke of the cerebellum is rarely seen in children. In adults, chiropractical manipulation, yoga exercises, bow hunting and cervical trauma have all been associated with vertebrobasillar damage and subsequent stroke due to cerebellar infarction. We present a case of bow hunter's stroke in a child. An 11-year-old boy developed deep coma one day after minor occipital head injury due to an infarct in the left cerebellum and ipsilateral medulla oblongata. Magnetic resonance angiography (MRA) showed hypoperfusion of the left vertebral artery and occlusion of the posterior and anterior inferior cerebellar arteries (PICA and AICA respectively).

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