%0 Journal Article %T A Case of Bony Stroke Involving a Vertebral Artery Detected by Dynamic Three-dimensional Computed Tomography Angiography. %A Miwa R %A Saito M %A Kawano H %A Honda Y %A Gomyo M %A Hirano T %J Intern Med %V 0 %N 0 %D 2024 Aug 8 %M 39111882 %F 1.282 %R 10.2169/internalmedicine.4141-24 %X When an ischemic stroke occurs due to bone or cartilage dynamically affecting vessels supplying the brain, it is called bony stroke. We herein report a patient with recurrent cryptogenic stroke that was thought to be a bony stroke. Dynamic three-dimensional computed tomography angiography revealed mechanical compression of the vertebral artery by the hyoid bone and thyroid cartilage. The patient had a recurrent stroke during antiplatelet therapy. Surgical removal of bone tissue prevents stroke recurrence.