“I Can’t Breath”

Bow hunter’s stroke is characterized by vertebrobasilar insufficiency caused by occlusion or stenosis of the vertebral artery associated with head movements. …….. The signs and symptoms of vertebrobasilar insufficiency range from dizziness, nystagmus, and nausea and vomiting to frank hemiparesis, sensory changes, Horner’s syndrome, swallowing difficulties, and loss of consciousness. …….. The extracranial vertebral artery usually becomes occluded when the head is rotated while the artery is fixed by surrounding bony or fibrous structures. ….. Treatments range from conservative warnings to minimize head movement to surgical procedures designed to limit head rotation or to decompress and free the vertebral artery at the point of compression. Because the risk of a cerebrovascular accident with permanent sequela from this syndrome is significant, some form of intervention should be instituted. ………. Bow hunter’s stroke has been defined as “hemodynamic vertebral basilar insufficiency induced by forced or voluntary rotational head movements causing intermittent vertebral artery compression at the atlanto axial level.”[7] Although the term “stroke” is used throughout the literature to refer to the condition, bow hunter’s encompasses a wide spectrum of rotational hemodynamic insuffiency ranging from a transient ischemic attack (TIA) to a frank cerebrovascular accident (CVA). Note the rotation in the GIF. All in all, I would rather trust William Tell. Vegan Doc