Related Experiment Video
Updated: Aug 7, 2025
08:59
A Model for Perineural Invasion in Head and Neck Squamous Cell Carcinoma
Published on: January 5, 2017
10.7K
Atypical thrombophlebitis patterns in head and neck infections
Elizabeth George1, Andrew L Callen2, Christine M Glastonbury1
1Department of Radiology and Biomedical Imaging, University of California San Francisco, USA.
The Neuroradiology Journal
|March 13, 2023
Summary
Atypical thrombophlebitis from head and neck infections can spread to the brain. Understanding these unusual venous pathways is crucial for diagnosing and treating intracranial complications.
Area of Science:
- Infectious Diseases
- Neurology
- Vascular Surgery
Background:
- Thrombophlebitis is a recognized complication of head and neck infections.
- While antegrade thrombus propagation (Lemierre syndrome) is common, atypical patterns exist.
- These atypical patterns present unique diagnostic and therapeutic challenges.
Purpose of the Study:
- To highlight atypical thrombophlebitis patterns complicating head and neck infections.
- To emphasize the potential for intracranial extension via unusual venous pathways.
- To underscore the importance of understanding venous drainage for diagnosis and management.
Main Methods:
- Retrospective case series analysis.
- Review of 6 cases with atypical thrombophlebitis secondary to head and neck infections.
- Detailed examination of venous pathways and intracranial extension.
Main Results:
- Five out of six cases demonstrated intracranial extension of thrombophlebitis.
- Infections originated from common head and neck sites (oral cavity, oropharynx, skin).
- Atypical venous spread patterns were identified as the route for remote complications.
Conclusions:
- Head and neck infections can lead to overlooked intracranial complications via atypical thrombophlebitis.
- Recognition of unusual venous drainage pathways is critical for accurate diagnosis.
- Prompt identification and management of these patterns are essential to prevent severe outcomes.
More Related Videos
Related Concept Videos
01:25Endocarditis II: Clinical Features of Infective Endocarditis
16
Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
16
01:30Acute Pharyngitis
1.1K
Introduction
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
1.1K
01:30Tonsillitis I: Introduction
406
Tonsillitis is inflammation of the tonsils, which are two lymphoid tissue masses at the back of the throat. This condition can cause discomfort and irritation in the throat.
Etiology
Three primary contributing factors have been identified.
Etiology
Three primary contributing factors have been identified.
406
01:23Chronic Pharyngitis
3.4K
Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
3.4K
01:30Venous Thrombosis I: Introduction
16
Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
16
01:19Veins of Head and Neck
2.3K
The blood drainage from the head and neck is primarily managed by three pairs of veins: the external jugular, internal jugular, and vertebral veins. The external jugular veins drain superficial scalp and face structures, passing over the sternocleidomastoid muscles to empty into the subclavian veins.
On the other hand, the vertebral veins, unlike their arterial counterparts, are not primarily responsible for brain drainage. Instead, they drain the cervical vertebrae, spinal cord, and some small...
On the other hand, the vertebral veins, unlike their arterial counterparts, are not primarily responsible for brain drainage. Instead, they drain the cervical vertebrae, spinal cord, and some small...
2.3K