Right Internal Jugular Vein Phlebectasia: A Rare Cause of Neck Swelling

Bhattacharya, Dipasri; Endrakanti, Mounika; Kumar, Rakesh

doi:10.1155/2017/9278728

Cited by 7 publications

(6 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although there were no reports of life-threatening complications for JVA, most clinicians choose surgical treatment in saccular aneurysm cases. On the contrary, surgical treatment is only done in fusiform dilatation if the lesions are symptomatic or progressive enlarging 7 . It is usually managed by a conservative and rarely needs surgery 9 .…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Jugular Vein Aneurysm, When We Have to Do Surgery?

2021

View full text Add to dashboard Cite

Introduction: The most common lesions of jugular vein dilatation are aneurysms and ectasia. A jugular vein aneurysm is less common compare to an arterial aneurysm in adults. Because of the rare incidence, treatment guidelines primarily associated with the timing of surgery are not clearly established. Proper treatment can reduce patient complaints without excessive intervention. Case report: A 54 years old woman complained of swelling in the right neck that started three years ago and cephalgia for two years. From CT angiography, we obtained a jugular vein dilatation of 2.3 cm. During periodic evaluation from ultrasonography doppler, there is no increase in the size of the jugular vein. Conclusion: Jugular vein aneurysm presenting in adults is an infrequent phenomenon. It is a benign condition, and conservative observation is advised. It should be operated only if symptomatic or progressive enlarging. A periodic examination must be done to evaluate the size of the jugular vein before a surgical decision

show abstract

Section: Discussionmentioning

confidence: 99%

“…JVA is generally seen in the right jugular vein in children because the right side lung dome is higher than the left one. So, it makes the right jugular vein more susceptible to increased intrathoracic pressure7,8 . Another possible cause is the right internal jugular vein valves which are placed higher than the left one.…”

mentioning

confidence: 99%

Jugular Vein Aneurysm, When We Have to Do Surgery?

2021

View full text Add to dashboard Cite

show abstract

“…Ultrasonography can confirm vasodilation and blood flow during dilation. A previous study reported that the Doppler study revealed turbulence in the internal jugular vein, 5 thereby suggesting that the blood flow is regurgitating when the internal jugular vein is dilated.…”

Section: Case Reportmentioning

confidence: 98%

Paediatric primary cough headache with internal jugular phlebectasia

et al. 2021

View full text Add to dashboard Cite

Primary cough headaches (PCHs) are mainly observed in people aged >40 years, but cough-induced headaches are potentially symptomatic in children. We report a case of a child diagnosed with PCH without an intracranial disease. A 7-year-old boy presented with cough due to pertussis and powerful cough-induced headaches. No brain abnormalities were detected, but the right side of his neck was observed to swell. Echo examination confirmed right internal jugular vein dilatation during a Valsalva manoeuvre, and the patient was diagnosed with PCH with internal jugular phlebectasia. PCHs are normally reported in adults, but they can also occur in children. PCHs and internal jugular vein abnormalities may be related. Thus, tests assessing internal jugular vein morphology and function should be considered for PCH cases.

show abstract

“…Most authors consider IJP to be congenital, which dovetails with more frequent diagnosis in childhood than adulthood (Al Tamami & Al Macki, 2015; Bhattacharya, Endrakanti, & Kumar, 2017). Symptoms are often observed by patients and families for months or years before diagnosis by a clinician (Al‐Dousary, 1997; Baker et al, 2017; Shimizu, Takagi, Yoshio, Takeda, & Matsui, 1992).…”

Section: Introductionmentioning

confidence: 99%

“…Historically, diagnosis was also based on magnetic resonance imaging, computed tomography, and other radiologic studies, such as direct dye injection (Al Tamami & Al Macki, 2015; Paleri & Gopalakrishnan, 2001). Similarly, during early decades of treatment, surgery was more frequent; currently, most cases are handled conservatively when phlebectasias are not accompanied by comorbidities, though surgery may be chosen for cosmetic reasons (Al Tamami & Al Macki, 2015; Bhattacharya et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Neck masses due to internal jugular vein phlebectasia: Frequency in Menkes disease and literature review of 85 pediatric subjects

Stevens

Price

Marko

et al. 2020

American J of Med Genetics Pt A

View full text Add to dashboard Cite

Classic Menkes disease is a rare X-linked recessive disorder of copper metabolism caused by pathogenic variants in the copper transporter gene, ATP7A. Untreated affected individuals suffer failure to thrive and neurodevelopmental delays that begin at 6-8 weeks of age and progress inexorably to death, often within 3 years. Subcutaneous injections of Copper Histidinate (US Food and Drug Administration IND #34,166, Orphan product designation #12-3663) are associated with improved survival and neurological outcomes, especially when commenced within a month of birth. We previously identified internal jugular vein phlebectasia (IJP) in four Menkes disease subjects. This feature and other connective tissue abnormalities appear to be consequences of deficient activity of lysyl oxidase, a copper-dependent enzyme. Here, we report results from a prospective study of IJP based on 178 neck ultrasounds in 66 Menkes subjects obtained between November 2007 and March 2018.Nine patients met the criterion for IJP (one or more cross-sectional area measurements exceeding 2.2 cm 2 ) and five subjects had clinically apparent neck masses that enlarged over time. Our prospective results suggest that IJP occurs in approximately 14% (9/66) of Menkes disease patients and appears to be clinically benign with no specific medical or surgical actionability. We surveyed the medical literature for prior reports of IJP in pediatric subjects and identified 85 individuals and reviewed the distribution of this abnormality by gender, sidedness, and underlying etiology. Taken together, Menkes disease accounts for 16% (15/94) of all reported IJP individuals. Neck masses from IJP represent underappreciated abnormalities in Menkes disease.

show abstract

Right Internal Jugular Vein Phlebectasia: A Rare Cause of Neck Swelling

Cited by 7 publications

References 6 publications

Jugular Vein Aneurysm, When We Have to Do Surgery?

Jugular Vein Aneurysm, When We Have to Do Surgery?

Paediatric primary cough headache with internal jugular phlebectasia

Neck masses due to internal jugular vein phlebectasia: Frequency in Menkes disease and literature review of 85 pediatric subjects

Contact Info

Product

Resources

About