Learning objectives
To describe the main imagistic aspects of internal jugular vein thrombosis and to illustrate the most common conditions leading to this less frequent medical disorder.
Background
Theinternal jugular veinis a paired,
symmetrical venous structure which plays the role of the main blood collector from the brain,
superficial parts of the face and neck.
It continues the sigmoid sinus from its skull exit through the jugular foramen and joins the subclavian vein at the junction of the neck and thorax to form the brachiocephalic vein.
It has a caudal path in the carotid sheath where is accompanied anteromedially initially by the internal and then the common carotid artery and posteriorly by the...
Findings and procedure details
In our clinic,
4 cases of jugular vein thrombosis were encountered from a total of 134 cases with cervical ultrasonography performed in the emergency room of “Sf.
Spiridon" Hospital,
from 1 May 2017 to 31 May 2018.
All patients were examined by an experienced radiologist,
initially by ultrasound using a Logiq P9 ultrasound scanner with linear array transducers 11L-D (4.2-12MHz) and 9L-D (3.1-10 MHz),
and then by computed tomography.
Ultrasound
Examination technique: The patient is examined in a supine position with the upper body slightly...
Conclusion
The internal jugular vein is an uncommon site of venous thrombosis.
The vague or misleading clinical presentation requires a high degree of suspicion to put the diagnosis.
Ultrasound examination is the first choice when this condition is presumed because it is portable,
inexpensive,
does not irradiate and allows real-time observation.
Moreover,
it is also useful in the follow-up examinations.
Computer tomography brings further important information,
such as the extent of the thrombosis,
the state of the nearby ganglions and the other cervical organs,
thus giving...
References
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Boedeker CC,
Ridder GJ,
Weerda N,
Maier W,
Klenzner T,
Schipper J,
Etiology and therapy of the internal jugular vein thrombosis,
Laryngorhinootologie,
2004 Nov;83(11): 743-9.
2.
Carrington BM,
Adams JE,
Jugular vein thrombosis associated with distant malignancy,
Postgraduate Medical Journal,
1988 Jun; 64(752): 455-458.
3.
Gbaguidi X,
Janvresse A,
Benichou J,
Cailleux N,
Levesque H,
Marie I,
Internal jugular vein thrombosis: outcome and risk factors,
2011 Mar;104(3):209-19.
4.
Hennerici M,
Neuerburg-Heusler D,
Vascular Diagnosis with Ultrasound,
Thieme,
2005: 82-89.
5.
Hillen HF.
Thrombosis in...