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- Title
Spontaneous early recanalization of an acute internal jugular vein thrombosis.
- Authors
Liu, Yi; Ting, Chi-Hsin; Sung, Yueh-Feng; Yang, Fu-Chi
- Abstract
Acute internal jugular vein thrombosis (IJVT) is a rare vascular disease that can cause lethal complications and manifests with varying neurological symptoms. A 42-year-old woman presented with a progressively worsening headache over the left temporal-occipital area and pain in the left posterior nuchal; ultrasonography and magnetic resonance venography (MRV) revealed a thrombosis with critical stenosis in the left internal jugular vein (IJV). Seven days after treatment with an anticoagulant, she exhibited considerable improvement. Follow-up ultrasonography and three-dimensional computed tomography angiography (CTA) indicated spontaneous IJV recanalization. To avoid implementing inappropriate treatments and prevent adverse outcomes, acute IJVT should be considered as a cause of secondary headaches. To determine the prognosis and secondary prophylaxis strategy (i.e., medical or surgical), recanalization should be detected using color-coded duplex ultrasonography and confirmed using MRV or CTA; these are all safe and minimally invasive procedures.
- Subjects
VASCULAR diseases; RARE diseases; HEADACHE; COMPUTED tomography; ULTRASONIC imaging
- Publication
Journal of Medical Sciences (1011-4564), 2022, Vol 42, Issue 5, p245
- ISSN
1011-4564
- Publication type
Article
- DOI
10.4103/jmedsci.jmedsci_144_21