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Updated: Apr 16, 2026
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Adult Mouse Venous Hypertension Model: Common Carotid Artery to External Jugular Vein Anastomosis.
Published on: January 27, 2015
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[Intracranial hypertension and jugular vein thrombosis]
1Klinik und Poliklinik für Augenheilkunde, Universitätsklinikum Regensburg, Franz-Josef-Strauß-Allee 11, 93053, Regensburg, Deutschland. juliakonrad1@gmx.de.
Summary
This case report highlights a rare instance of idiopathic intracranial hypertension co-occurring with jugular vein thrombosis in a male patient. The condition resolved with medical management, despite persistent thrombosis.
Area of Science:
- Neurology
- Vascular Medicine
Background:
- Idiopathic intracranial hypertension (IIH), or pseudotumor cerebri, involves elevated intracranial pressure, typically affecting obese women.
- Diagnostic criteria include increased cerebrospinal fluid (CSF) pressure, associated symptoms, normal CSF analysis, and absence of structural/vascular lesions on MRI.
Observation:
- A 39-year-old male presented with visual obscuration and diplopia.
- He had a history of unexplained left jugular vein thrombosis.
- Examination revealed papilledema with hemorrhages and cotton wool spots, and CSF opening pressure exceeding 50 cmH2O.
Findings:
- Treatment with lumbar puncture, carbonic anhydrase inhibitors, and diuretics led to resolution of papilledema and abducens nerve palsy.
- Anticoagulation therapy was ineffective in resolving the jugular vein thrombosis.
Implications:
- This case illustrates a rare association between IIH and jugular vein thrombosis in a male.
- The spontaneous occurrence without identifiable coagulation disorders presents a unique clinical challenge.
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