Atlanto-occipital ligament calcification: a novel imaging finding in pediatric rotational vertebral artery occlusion

Nathan T. Cohen, Dana B. Harrar, Yaser A. Diab, Monica Pearl, Jonathan G. Murnick

Research output: Contribution to journalArticle


We describe a 2-year-old girl with bow hunter syndrome complicated by vertebral artery dissection and multiple ischemic infarcts. Pediatric bow hunter syndrome is a rare and likely under-recognized disorder. Interestingly, our patient had atlanto-occipital ligament calcification on CT scan, an imaging finding that has not been reported in association with bow hunter syndrome and one that might help increase recognition of this dynamic disorder of the posterior circulation.

Original languageEnglish (US)
JournalPediatric radiology
Publication statusAccepted/In press - Jan 1 2019



  • Atlanto-occipital ligament
  • Bow hunter syndrome
  • Calcification
  • Child
  • Posterior circulation
  • Stroke
  • Vertebral artery

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Radiology Nuclear Medicine and imaging

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