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Ligation of the Internal Jugular Vein

Ligation Internal Jugular Vein


Presentation

  • Cerebral vein and dural sinus thrombosis is a rare condition with a wide range of causes and a highly variable presentation.[ncbi.nlm.nih.gov]
  • Two cases are presented.[ncbi.nlm.nih.gov]
  • Vascular malformation of the internal jugular vein, presenting as neck mass, is extremely rare with no case described in neonates. We present one such interesting case. The Author(s) 2016.[ncbi.nlm.nih.gov]
  • The player requires Flash Player plugin Case description This film presents ligation of right internal jugular vein.[medtube.net]
  • Previously known as cephalic bruit and essential objective tinnitus, the venous hum tinnitus presents as pulse synchronous unilateral objective tinnitus. Ligation of the internal jugular vein appears to be a successful treatment.[journals.cambridge.org]
Fever
  • The chief complaints were otalgia, fever, mastoid tenderness, and neck pain. All patients were confirmatively diagnosed with MRI-Venography or Angio-CT scans.[ncbi.nlm.nih.gov]
  • […] in ipsilateral jugular venous thrombosis) Venous contamination then acts as a nidus for septicemia and septic embolization Pulmonary septic emboli seen in as high as 90% in some series Patients may initially present with acute pharyngitis Followed by fever[learningradiology.com]
  • LST should be considered in patients with persistent fever, otalgia and otorrhoea despite receiving antibiotics. Magnetic resonance imaging along with venography is very helpful in evaluating the patency of lateral sinus.[arquivosdeorl.org.br]
  • Complicated cases present as fever in the majority (83%), leucocytosis (78%), and cervical pain in 66% of patients while 70% may complain of a neck swelling.[ispub.com]
Inflammation
  • It is also important to actively treat this condition surgically, including ligation of internal jugular vein for suppressing inflammation.[ncbi.nlm.nih.gov]
  • , and Nose / Ear Infection that is because a patient with middle ear infection can have what is called mastoiditis, which is spread of the bacteria to the bone behind the ear. this gets inflamed and further leads in a small percentage of patients to inflammation[answers.com]
  • […] damage either due to direct endovascular invasion by microbes or through perivascular inflammation (6).[ispub.com]
Falling
  • Huntington 1,4 VIEW AFFILIATIONS 1 1 Sioux Falls Family Medicine Residency Program, Center for Family Medicine, 1115 East 20th Street, Sioux Falls, SD 57105, USA 2 2 Sanford Vascular Associates,, 1305 W 18th Street, Sioux Falls, SD 57105, USA 3 3 Department[jmmcr.microbiologyresearch.org]
Nausea
  • LITERATURE REVIEW Presentation Severe generalized fronto occipital headache, earache, nausea, vomiting, diplopia, sixth nerve palsy, loss of visual acuity, hemiparesis and picket fence fevers, were the major signs and symptoms described in cases of lateral[arquivosdeorl.org.br]
Hypotension
  • Factors involved such as abnormalities of the cerebral venous sinus system, controlled hypotension, hypovolemia, posture, and dressings are discussed, as well as safeguards and possible preoperative diagnostic measures.[ncbi.nlm.nih.gov]
  • Factors involved such as abnormalities of the cerebral venous sinus system, controlled hypotension, hypovolemia, posture, and dressings are discussed, as well as safeguards and possible preoperative diagnostic measures. 22 cases of serious intracranial[thisisms.com]
Heart Failure
  • Failure and Transplantation Cardiology Nita Ahuja MD, MBA Gastrointestinal Surgical Oncology, General Surgery, Minimally Invasive Surgery, Sarcoma and Connective Tissue Surgical Oncology Paul Aiello MD Radiology, Diagnostic Radiology Joseph Akar MD,[yalemedicine.org]
  • failure or space-occupying lesion in the anterior thorax. jugular veins two pairs of large veins, internal and external, that return blood to the heart from the head and neck.[medical-dictionary.thefreedictionary.com]
Increased Jugular Venous Pressure
  • The venous congestion, however, may be resolved within a few minutes since IJV ligation in swine did not lead to increased jugular venous pressure in five minutes [ 7 ].[jaclinicalreports.springeropen.com]
Neck Pain
  • The chief complaints were otalgia, fever, mastoid tenderness, and neck pain. All patients were confirmatively diagnosed with MRI-Venography or Angio-CT scans.[ncbi.nlm.nih.gov]
  • 抄録 A 29-year-old man visited our hospital complaining of right neck pain and swelling following acute tonsillitis.[ci.nii.ac.jp]
  • pain/swelling may present before sepsis Tenderness, swelling, and pain over the angle of the jaw may also be present Imaging Findings Contrast-enhanced CT is the imaging study of choice in finding the inciting abscess Distended veins Enhancing walls[learningradiology.com]
  • Our patient who presented with neck pain and a diffuse swelling but no features of infection therefore had an uncomplicated presentation.[ispub.com]
Pulsatile Tinnitus
  • Pulsatile Tinnitus Cured by Mastoidectomy . Annals of Otology, Rhinology & Laryngology, Vol. 113, Issue. 9, p. 730. CrossRef Google Scholar Seoane, Eduardo and Rhoton, Albert L 1999.[journals.cambridge.org]
  • Vascular anomalies, extracranial and intracranial arteriovenous malformations as well as glomus jugulare tumour are well known causes of pulsatile tinnitus. Of late, benign intracranial hypertension has been stated to be a more common cause.[ncbi.nlm.nih.gov]
Tinnitus
  • Previously known as cephalic bruit and essential objective tinnitus, the venous hum tinnitus presents as pulse synchronous unilateral objective tinnitus. Ligation of the internal jugular vein appears to be a successful treatment.[ncbi.nlm.nih.gov]
Otalgia
  • The chief complaints were otalgia, fever, mastoid tenderness, and neck pain. All patients were confirmatively diagnosed with MRI-Venography or Angio-CT scans.[ncbi.nlm.nih.gov]
  • LST should be considered in patients with persistent fever, otalgia and otorrhoea despite receiving antibiotics. Magnetic resonance imaging along with venography is very helpful in evaluating the patency of lateral sinus.[arquivosdeorl.org.br]
Headache
  • He was treated with ligation of the left internal jugular vein, but subsequently developed severe headaches and symptoms of increased intracranial pressure.[ncbi.nlm.nih.gov]
  • LITERATURE REVIEW Presentation Severe generalized fronto occipital headache, earache, nausea, vomiting, diplopia, sixth nerve palsy, loss of visual acuity, hemiparesis and picket fence fevers, were the major signs and symptoms described in cases of lateral[arquivosdeorl.org.br]

Treatment

  • It can lead to significant morbidity, but scant literature is available describing diagnosis and treatment when this occurs after ligation of the internal jugular vein.[ncbi.nlm.nih.gov]
  • Abstract The purposes of this study were to review the clinical characteristics and treatment outcomes of patients with lateral sinus thrombosis (LST) and to discuss the need of internal jugular vein (IJV) ligation or anticoagulants.[ncbi.nlm.nih.gov]
  • , guidelines, discoveries in your fields of interest; be notified You are informed about innovative treatments, techniques and innovations in medicine This video is limited to doctors and other health professionals.[medtube.net]
  • R. ( 1975 ) Operative treatment of surgical lesions with objective tinnitus. Annals of Otology Rhinology and Laryngology 84 : 473 – 482.[journals.cambridge.org]
  • Ligation of the internal jugular vein appears to be a successful treatment. Two cases are presented.[ncbi.nlm.nih.gov]

Prognosis

  • High-dose parenteral antibiotics Anticoagulation Ligation or resection of the internal jugular vein on occasion Complications Pulmonary septic emboli Empyema Lung abscess Septic arthritis, osteomyelitis or hepatic abscesses through a patent foramen ovale Prognosis[learningradiology.com]
  • A wait-and-see decision seems to be all the more justified in Menkes disease because of vessel wall fragility and poor short-term prognosis.[omicsonline.org]
  • Surgery ensues a better prognosis. A cortical mastoidectomy is sufficient treatment for non cholesteatoma ear disease(31). It allows drainage of the initiating infection and confirms the diagnosis of LST.[arquivosdeorl.org.br]

Etiology

  • Two hypotheses have been proposed to explain the etiology of IJP: The first is the elevated pressure in the internal jugular vein and the second is the congenital defect of the venous wall.[e-aps.org]
  • The most common etiologies are: lymphadenopathy, parotiditis, laryngocele, branchial arc cyst, thyreoglossal tract cyst, upper mediastinal cyst [ 18 , 23 ].[omicsonline.org]
  • Although the exact etiology is still controversial, many hypothesis have been proposed. [1] Due to the rarity of this condition, a high index of suspicion is required to recognize the same.[ijabmr.org]
  • Etiological factors can be described in relation to Virchow's triad. Any factor causing endothelial damage, alteration in blood flow or hypercoagulable state can lead to IJV thrombosis.[ispub.com]

Epidemiology

  • Incidence and clinical epidemiology of necrobacillosis, including Lemierre’s syndrome, in Denmark 1990–1995.. Eur J Clin Microbiol Infect Dis 17 :, 561– – 565. [CrossRef] [Google Scholar] Huntington M.K., Sewall B.O.. ( 2007 ; ).[jmmcr.microbiologyresearch.org]
  • IJP is a rare condition and its epidemiologic features have not been well documented. In recent years, its incidence has increased.[e-aps.org]
Sex distribution
Age distribution

Prevention

  • Early diagnosis and aggressive therapeutic interventions are critical to prevent further morbidity in patients who develop cerebral vein and dural sinus thrombosis after ligation of the internal jugular vein.[ncbi.nlm.nih.gov]
  • Abstract Numerous methods of venous reconstruction have been described to help prevent the many complications related to bilateral ligation of the internal jugular veins.[ncbi.nlm.nih.gov]
  • It is used to remove a damaged vein and prevent complications of vein damage. If several valves in a vein and the vein itself are heavily damaged, the vein (or the diseased part of the vein) is removed (stripped).[northshore.org]
  • Anticoagulation has been advocated to prevent extension of the thrombus to distal sinuses(27,28). However, it is rarely used now as most infections can be controlled with antibiotics and surgery, and this tends to prevent thrombus propagating.[arquivosdeorl.org.br]
  • Vulneration of the cranial nerves (VII, IX, X) has to be prevented. 1986 S.[karger.com]

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