{"id":"https://openalex.org/W2001397752","doi":"https://doi.org/10.2176/nmc.39.696","title":"Bow Hunter''s Stroke Associated with Atlantooccipital Assimilation \u2014Case Report\u2014","display_name":"Bow Hunter''s Stroke Associated with Atlantooccipital Assimilation \u2014Case Report\u2014","publication_year":1999,"publication_date":"1999-01-01","ids":{"openalex":"https://openalex.org/W2001397752","doi":"https://doi.org/10.2176/nmc.39.696","mag":"2001397752","pmid":"https://pubmed.ncbi.nlm.nih.gov/10563123"},"language":"en","primary_location":{"id":"doi:10.2176/nmc.39.696","doi":"https://doi.org/10.2176/nmc.39.696","is_oa":true,"landing_page_url":"https://doi.org/10.2176/nmc.39.696","pdf_url":"https://www.jstage.jst.go.jp/article/nmc1959/39/9/39_9_696/_pdf","source":{"id":"https://openalex.org/S170822592","display_name":"Neurologia medico-chirurgica","issn_l":"0470-8105","issn":["0470-8105","1349-8029"],"is_oa":false,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","jufo-1","medline","norway-1","oarl","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4310313358","host_organization_name":"Japan Neurological Society","host_organization_lineage":["https://openalex.org/P4310313358"],"host_organization_lineage_names":["Japan Neurological Society"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurologia medico-chirurgica","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://www.jstage.jst.go.jp/article/nmc1959/39/9/39_9_696/_pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5112151635","display_name":"Kyoji Sakai","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405253635","display_name":"Kochi Prefectural Government","ror":"https://ror.org/00xcsac28","country_code":"JP","type":"government","lineage":["https://openalex.org/I4405253635"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Kyoji SAKAI","raw_affiliation_strings":["Department of Neurosurgery, Kochi Prefectural Aki Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Kochi Prefectural Aki Hospital","institution_ids":["https://openalex.org/I4405253635"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5110013547","display_name":"Takumi Tsutsui","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405253635","display_name":"Kochi Prefectural Government","ror":"https://ror.org/00xcsac28","country_code":"JP","type":"government","lineage":["https://openalex.org/I4405253635"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Takumi TSUTSUI","raw_affiliation_strings":["Department of Neurosurgery, Kochi Prefectural Aki Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Kochi Prefectural Aki Hospital","institution_ids":["https://openalex.org/I4405253635"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I4405253635"],"apc_list":{"value":10000,"currency":"JPY","value_usd":75},"apc_paid":null,"fwci":0.7217,"has_fulltext":true,"cited_by_count":36,"citation_normalized_percentile":{"value":0.71745586,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":87,"max":98},"biblio":{"volume":"39","issue":"9","first_page":"696","last_page":"700"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10816","display_name":"Cerebrovascular and Carotid Artery Diseases","score":0.7588000297546387,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10816","display_name":"Cerebrovascular and Carotid Artery Diseases","score":0.7588000297546387,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13543","display_name":"Oropharyngeal Anatomy and Pathologies","score":0.07119999825954437,"subfield":{"id":"https://openalex.org/subfields/2733","display_name":"Otorhinolaryngology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11518","display_name":"Cervical and Thoracic Myelopathy","score":0.06289999932050705,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/vertebral-artery-occlusion","display_name":"vertebral artery occlusion","score":0.8399999737739563},{"id":"https://openalex.org/keywords/vertebrobasilar-insufficiency","display_name":"vertebrobasilar insufficiency","score":0.9110000133514404},{"id":"https://openalex.org/keywords/head-rotation","display_name":"head rotation","score":0.9110000133514404},{"id":"https://openalex.org/keywords/cerebellar-hypoperfusion","display_name":"cerebellar hypoperfusion","score":0.8199999928474426},{"id":"https://openalex.org/keywords/conservative-treatment","display_name":"conservative treatment","score":0.4129999876022339}],"concepts":[{"id":"https://openalex.org/C2780405337","wikidata":"https://www.wikidata.org/wiki/Q516546","display_name":"Vertebral artery","level":2,"score":0.7486709356307983},{"id":"https://openalex.org/C2781138976","wikidata":"https://www.wikidata.org/wiki/Q488727","display_name":"Posterior inferior cerebellar artery","level":3,"score":0.6998611688613892},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6974197626113892},{"id":"https://openalex.org/C2776673561","wikidata":"https://www.wikidata.org/wiki/Q655357","display_name":"Atlas (anatomy)","level":2,"score":0.5765535831451416},{"id":"https://openalex.org/C2780674711","wikidata":"https://www.wikidata.org/wiki/Q1436579","display_name":"Foramen","level":2,"score":0.5754193067550659},{"id":"https://openalex.org/C2780643987","wikidata":"https://www.wikidata.org/wiki/Q468414","display_name":"Angiography","level":2,"score":0.5144634246826172},{"id":"https://openalex.org/C2776300738","wikidata":"https://www.wikidata.org/wiki/Q11540874","display_name":"Vertebrobasilar insufficiency","level":3,"score":0.49601611495018005},{"id":"https://openalex.org/C105702510","wikidata":"https://www.wikidata.org/wiki/Q514","display_name":"Anatomy","level":1,"score":0.46879181265830994},{"id":"https://openalex.org/C2781012200","wikidata":"https://www.wikidata.org/wiki/Q500339","display_name":"Basilar artery","level":2,"score":0.44782957434654236},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.3095165491104126}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001269","descriptor_name":"Atlanto-Occipital Joint","qualifier_ui":"Q000098","qualifier_name":"blood supply","is_major_topic":false},{"descriptor_ui":"D001269","descriptor_name":"Atlanto-Occipital Joint","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":true},{"descriptor_ui":"D001696","descriptor_name":"Biomechanical Phenomena","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001921","descriptor_name":"Brain","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":false},{"descriptor_ui":"D002560","descriptor_name":"Cerebrovascular Circulation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013131","descriptor_name":"Spine","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":false},{"descriptor_ui":"D014057","descriptor_name":"Tomography, X-Ray Computed","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014711","descriptor_name":"Vertebral Artery","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":false},{"descriptor_ui":"D014711","descriptor_name":"Vertebral Artery","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":true},{"descriptor_ui":"D014715","descriptor_name":"Vertebrobasilar Insufficiency","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D014715","descriptor_name":"Vertebrobasilar Insufficiency","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D015899","descriptor_name":"Tomography, Emission-Computed, Single-Photon","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018810","descriptor_name":"Magnetic Resonance Angiography","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.2176/nmc.39.696","doi":"https://doi.org/10.2176/nmc.39.696","is_oa":true,"landing_page_url":"https://doi.org/10.2176/nmc.39.696","pdf_url":"https://www.jstage.jst.go.jp/article/nmc1959/39/9/39_9_696/_pdf","source":{"id":"https://openalex.org/S170822592","display_name":"Neurologia medico-chirurgica","issn_l":"0470-8105","issn":["0470-8105","1349-8029"],"is_oa":false,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","jufo-1","medline","norway-1","oarl","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4310313358","host_organization_name":"Japan Neurological Society","host_organization_lineage":["https://openalex.org/P4310313358"],"host_organization_lineage_names":["Japan Neurological Society"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurologia medico-chirurgica","raw_type":"journal-article"},{"id":"pmid:10563123","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/10563123","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurologia medico-chirurgica","raw_type":"Case Reports"}],"best_oa_location":{"id":"doi:10.2176/nmc.39.696","doi":"https://doi.org/10.2176/nmc.39.696","is_oa":true,"landing_page_url":"https://doi.org/10.2176/nmc.39.696","pdf_url":"https://www.jstage.jst.go.jp/article/nmc1959/39/9/39_9_696/_pdf","source":{"id":"https://openalex.org/S170822592","display_name":"Neurologia medico-chirurgica","issn_l":"0470-8105","issn":["0470-8105","1349-8029"],"is_oa":false,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","jufo-1","medline","norway-1","oarl","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4310313358","host_organization_name":"Japan Neurological Society","host_organization_lineage":["https://openalex.org/P4310313358"],"host_organization_lineage_names":["Japan Neurological Society"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurologia medico-chirurgica","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9476000070571899,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2001397752.pdf","grobid_xml":"https://content.openalex.org/works/W2001397752.grobid-xml"},"referenced_works_count":20,"referenced_works":["https://openalex.org/W32016454","https://openalex.org/W1220836622","https://openalex.org/W1967266407","https://openalex.org/W1988126761","https://openalex.org/W1997452824","https://openalex.org/W1998196508","https://openalex.org/W2021125162","https://openalex.org/W2026553446","https://openalex.org/W2031689207","https://openalex.org/W2064565770","https://openalex.org/W2097461227","https://openalex.org/W2131540807","https://openalex.org/W2154495053","https://openalex.org/W2313248001","https://openalex.org/W2332925169","https://openalex.org/W2406632547","https://openalex.org/W2410204069","https://openalex.org/W2411718135","https://openalex.org/W2419268907","https://openalex.org/W2595303863"],"related_works":["https://openalex.org/W102223331","https://openalex.org/W2040926820","https://openalex.org/W2021125162","https://openalex.org/W2052590915","https://openalex.org/W7054198506","https://openalex.org/W2976358719","https://openalex.org/W1220836622","https://openalex.org/W1998196508","https://openalex.org/W4401558368","https://openalex.org/W2319571991"],"abstract_inverted_index":{"A":[0],"39-year-old":[1],"male":[2],"presented":[3],"with":[4],"bow":[5],"hunter's":[6],"stroke":[7],"manifesting":[8],"as":[9],"repeated":[10],"vertebrobasilar":[11],"ischemic":[12],"attacks":[13],"induced":[14],"by":[15,81,102],"head":[16],"rotation":[17],"45":[18],"degrees":[19],"to":[20],"the":[21,29,36,50,76,82,85,94],"left.":[22],"Three-dimensional":[23],"computed":[24,43],"tomography":[25,44],"angiography":[26],"clearly":[27],"showed":[28,46],"occluded":[30],"right":[31],"vertebral":[32],"artery":[33],"(VA)":[34],"between":[35],"axis":[37],"and":[38,53,66,90,96,100],"atlas.":[39],"Single":[40],"photon":[41],"emission":[42],"study":[45],"diffuse":[47],"hypoperfusion":[48],"of":[49,60,84,93],"brain":[51],"stem":[52],"bilateral":[54],"cerebellar":[55],"hemispheres,":[56],"suggesting":[57],"hemodynamic":[58],"compromise":[59],"these":[61],"regions.":[62],"He":[63],"refused":[64],"surgery":[65],"was":[67,79],"treated":[68],"conservatively.":[69],"The":[70],"most":[71],"likely":[72],"mechanism":[73],"is":[74],"that":[75],"affected":[77],"VA":[78],"fixed":[80],"ossification":[83],"atlantooccipital":[86],"membrane,":[87],"vascular":[88],"groove,":[89],"transverse":[91],"foramen":[92],"atlas,":[95],"therefore":[97],"became":[98],"elongated":[99],"compressed":[101],"head-turning.":[103]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":1},{"year":2021,"cited_by_count":1},{"year":2020,"cited_by_count":3},{"year":2016,"cited_by_count":3},{"year":2015,"cited_by_count":6},{"year":2014,"cited_by_count":1},{"year":2012,"cited_by_count":1}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}