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Yuto Shingai, Hiroyuki Sakata, Toshiki Endo, Shinsuke Suzuki, Masayuki Ezura, and Teiji Tominaga

performed, followed by decompression surgery and endovascular surgery. TABLE 1. Cases of BHS due to an embolic mechanism Author, Year Age (yrs)/Sex Location VA Dominance Emboli Source Underlying Pathology Recurrent Stroke Treatment Lu DC et al., 2009 5 12/M Occipital–C1 Dominant Dissection Bone spur + Decompression Greiner HM et al., 2010 6 15/M C1 Dominant Dissection Congenital bony anomaly + Decompression Anene-Maidoh TI et al., 2013 7 16/M C1 Dominant Dissection Congenital bony anomaly + Decompression Safain MG et al., 2014 8 73/M C1–C2 Nondominant N/A Congenital bony