This is very important review that provides a comprehensive summary of mechanical cervicocerebral circulatory disorders in children, with several key implications: - It emphasizes that pediatric patterns differ substantially from adults for these conditions. For bow hunter's syndrome, pediatric cases primarily involve the upper cervical spine (C1-C2) with vertebral artery dissection, while adults more commonly have lower cervical disease related to spondylosis. - Recognition that bow hunter's syndrome is a major cause of posterior circulation stroke in children is critically important. Appropriate diagnosis with catheter angiography and head rotations is needed to guide surgical management and prevent recurrence. - The high ...