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Updated: May 17, 2026
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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Internal jugular vein entrapment in a multiple sclerosis patient
Marian Simka1, Eugeniusz Majewski, Marek Fortuna
1Department of Vascular Surgery, EuroMedic Medical Center, Street Kościuszki 92, 40-519 Katowice, Poland.
Case Reports in Surgery
|October 26, 2012
Summary
Aberrant omohyoid muscle compression of the internal jugular vein was identified in a multiple sclerosis patient. Surgical transection of the muscle successfully restored venous outflow.
Area of Science:
- Neurology
- Vascular Surgery
- Medical Imaging
Background:
- Internal jugular vein compression can cause neurological symptoms.
- Aberrant musculature is a rare cause of vascular compression.
- Previous endovascular treatment may predispose to venous collapse.
Purpose of the Study:
- To report a case of internal jugular vein compression by an aberrant omohyoid muscle.
- To describe the diagnostic and therapeutic approach.
- To highlight a potential, surgically manageable cause of venous outflow obstruction.
Main Methods:
- Clinical case presentation.
- Doppler sonography for venous assessment.
- Surgical exploration and muscle transection.
- Post-operative sonographic follow-up.
Main Results:
- Doppler sonography showed a collapsed internal jugular vein unresponsive to endovascular treatment.
- Symptoms resolved, and venous flow restored after surgical correction of the aberrant omohyoid muscle.
- Post-surgical sonography confirmed vein decompression and restored outflow.
Conclusions:
- Aberrant omohyoid muscle can cause significant internal jugular vein compression.
- Surgical management is effective in restoring venous outflow.
- Further research is needed to determine the clinical significance of this condition.
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