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Cerebral venous thrombosis originating from internal jugular vein outflow impairment: A case report

Chunxiao Li1, Li Sun, Xiuzhen Zhao

  • 1Department of Neurology and Neuroscience Center, First Hospital of Jilin University, Changchun, Jilin, China.

Medicine
|January 10, 2018
PubMed

Insights

Cerebral venous thrombosis (CVT) can stem from internal jugular vein compression. Early diagnosis using imaging like CT venography and ultrasound is crucial for effective treatment of this complex condition.

Area of Science:

  • Neurology
  • Vascular Medicine
  • Radiology

Background:

  • Cerebral venous thrombosis (CVT) is a complex cerebrovascular disease with varied etiologies, often leading to diagnostic challenges and misdiagnosis.
  • Internal jugular vein compression is an underrecognized cause of CVT.

Observation:

  • A 15-year-old female presented with acute onset CVT, manifesting as headache, nausea, and vomiting.
  • Conventional treatments including anticoagulants and dehydration management showed limited efficacy.

Findings:

  • The patient was diagnosed with CVT secondary to unilateral internal jugular vein compression.
  • Computed tomography venography and ultrasound identified jugular vein abnormalities and hemodynamic changes, aiding diagnosis.

Implications:

  • This case highlights the necessity of considering jugular vein pathology in CVT diagnosis.
  • Advanced imaging techniques are vital for detecting structural abnormalities and hemodynamic alterations in CVT patients.
Abstract

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