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Lu DC et al. – In this case, a 12–year–old boy suffered a stroke related to a VA rotational occlusion (bow hunter syndrome) and dissection due to a prominent suboccipital bone mass. Successful decompression of the VA was performed via a minimally invasive 22–mm tubular retractor. This is the first reported case report of a minimally invasive decompression of the VA between the skull base and C–1.

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