Isolated aneurysm of the internal jugular vein: A report of three cases

Danis, Richard K.

doi:10.1016/s0022-3468(82)80195-4

Cited by 41 publications

(22 citation statements)

References 4 publications

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“…There are no reports of rupture or other serious sequellae [11,17], although cosmetic issues may warrant surgical repair in some instances [11][12][13][14][15]17,18]. The stable clinical courses, over 2 to 21 months, in the three Menkes disease patients reported here reinforce support for a conservative management strategy.…”

Section: Discussionmentioning

confidence: 59%

“…Taken together with these three cases, it appears that the internal jugular veins may be particularly predisposed to developing ectasia in this genetic syndrome. Of note, in our opinion, none of the 18 previous reported cases of isolated jugular phlebectasia in infants and children [11][12][13][14][15][16][17][18][19] were suggestive of Menkes disease.…”

Section: Discussionmentioning

confidence: 64%

“…Venous aneurysms or phlebectasias are rare vascular entities in adults and children [10,11], although literature contains at least 18 reports of affected pediatric patients [11][12][13][14][15][16][17][18][19], none of whom had signs or symptoms of Menkes disease. In all previously reported cases, phlebectasia was an isolated finding, apparently unrelated to any underlying systemic disorder or specific genetic syndrome.…”

Section: Introductionmentioning

confidence: 99%

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Internal jugular phlebectasia in Menkes disease

Price¹,

Ravindranath²,

Kaler³

2007

International Journal of Pediatric Otorhinolaryngology

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Pediatric neck masses should trigger a high index of suspicion for certain genetic disorders of connective tissue. To highlight this, we report on three infants with Menkes disease, an inherited disorder of copper transport, who developed large, unilateral neck masses at between 7 and 17 months of age. All were identified in imaging studies as internal jugular phlebectasia. The masses, which enlarged on crying or exertion, have remained clinically benign in these patients for 20, 17, and 2 months, respectively. While arterial tortuosity and aneurysms have been reported often in Menkes disease, venous phlebectasia has rarely been described. We speculate that low activity of the copper-dependent enzyme, lysyl oxidase, leading to reduced tensile strength in the deep cervical fascia comprising the carotid sheath may predispose to internal jugular phlebectasia in these individuals. Improved survival and neurological outcomes in infants with Menkes disease due to advances in early diagnosis and treatment may be associated with recognition of novel clinical stigmata of this condition such as internal jugular phlebectasia.

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Section: Discussionmentioning

confidence: 59%

Section: Discussionmentioning

confidence: 64%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Internal jugular phlebectasia in Menkes disease

Price¹,

Ravindranath²,

Kaler³

2007

International Journal of Pediatric Otorhinolaryngology

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“…Inflammation can also be another factor causing this entity. [4][5][6] One case of facial vein aneurysm has been reported, but the exact cause and imaging findings were not presented. 7 Because facial vein aneurysm of our patient was associated with severe sialadenitis, we hypothesized that inflammation may have caused weakening of the facial vein wall.…”

Section: Discussionmentioning

confidence: 99%

Facial vein aneurysm associated with sialadenitis

Ilıca

Şentürk

Kertmen

et al. 2012

J of Clinical Ultrasound

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A 20 year-old man presented with pain and swelling of the left submandibular area. Neck sonography revealed enlargement of the submandibular gland, coarsening of its echotexture with a few calculi and a multiloculated cystic lesion. Doppler sonography revealed venous flow within the cystic lesion and aneurysmal dilatation of the adjacent facial vein. CT angiography confirmed the facial vein aneurysm. We hypothesize that inflammation of the gland had weakened the wall of the adjacent facial vein, causing aneurysmal dilatation.

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“…enlargement with Valsalva maneuvers [6]. In most of the previously reported cases of internal jugular phlebectasia, a definite diagnosis was reached only at operation [1,2] or by venography [3,7].…”

Section: Discussionmentioning

confidence: 99%

Usefulness of ultrasonography and Doppler color flow imaging in the diagnosis of internal jugular phlebectasia

et al. 1992

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A 20-year-old woman presented to our hospital for investigation of a left neck mass. Ultrasonographic examination of the jugular mass demonstrated an echo-free space, the caliber of which markedly increased when the patient shifted from the sitting to the recumbent position or performed a Valsalva maneuver. On color Doppler flow imaging, a slow flow signal flowing in the direction opposite to that of the common carotid artery was found within this space. Ultrasonography and color Doppler flow imaging thus proved to be useful for correctly diagnosing internal jugular phlebectasia.

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Isolated aneurysm of the internal jugular vein: A report of three cases

Cited by 41 publications

References 4 publications

Internal jugular phlebectasia in Menkes disease

Internal jugular phlebectasia in Menkes disease

Facial vein aneurysm associated with sialadenitis

Usefulness of ultrasonography and Doppler color flow imaging in the diagnosis of internal jugular phlebectasia

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