The comparative analysis of non-thrombotic internal jugular vein stenosis and cerebral venous sinus stenosis

Bai, Chaobo; Xu, Yaoming; Zhou, Da; Ding, Jiayue; Yang, Qi; Ding, Yuchuan; Ji, Xunming; Wang, Mengqi

doi:10.1007/s11239-019-01820-1

Cited by 31 publications

(57 citation statements)

References 21 publications

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“…Previous studies report CCSVI is associated with severe WMLs is to some degree at odds with our findings [17, 18]. The ischemia-induced demyelination derived from CAS displays non-symmetrical multiple round, ovoid, patch or even fused lesions while CVS typically presents with symmetrical cloudy-like appearance surrounding bilateral ventricles and centrum semiovale [4, 7, 19, 20]. CAVS has the concomitant imaging characteristics of arterial and venous stenosis.…”

Section: Discussioncontrasting

confidence: 66%

“…Cerebral venous stenosis (CVS) mainly results from extracranial venostenosis (internal jugular vein stenosis, IJVS) and intracranial venostenosis (cerebral venous sinus stenosis, CVSS) [4–7]. Previous publications have described its typical clinical manifestations such as headache, noise, visual impair, sleep disorder and dysphrenia [4, 8].…”

Section: Introductionmentioning

confidence: 99%

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Clinical and neuroimaging correlates among cohorts of cerebral arteriostenosis, venostenosis and arterio-venous stenosis

Ding

Guan

Rajah

et al. 2019

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The purpose of this study was to discriminate the clinical and imaging correlates of cerebral arterial stenosis (CAS), venous stenosis (CVS) and arterio-venous stenosis (CAVS) in the clinical setting. Patients were classified into three groups: CAS (n = 75), CVS (n=74) and CAVS (n=67). Focal neurological deficits were the prominent presenting symptoms in CAS group, while venous turbulence related symptoms were common in both CVS and CAVS group. Risk factor analysis showed the OR (95%CI) for diabetes, male gender and age in CAS vs. CVS group were 13.67(2.71, 68.85), 6.69(2.39, 18.67) and 1.07(1.03, 1.12) respectively. Male gender, diabetes and age in CAVS vs. CAS groups were 0.27(0.11, 0.63), 0.26(0.10, 0.67) and 1.09(1.04, 1.14) respectively, while age in CAVS vs. CVS group was 1.11(1.07, 1.15). The white matter lesions (WMLs) in CAS group varied in size, with clear boundaries asymmetrically distributed in bilateral hemispheres. CVS-induced WMLs revealed a bilaterally symmetric, cloudy-like appearance. The cerebral perfusion was asymmetrically reduced in CAS but symmetrically reduced in CVS group. The clinical characteristics and neuroimaging presentations were different among patients with CAS, CVS and CAVS. We recommended for aged patients, both arterial and venous imaging should be considered in diagnosis of cerebral stenotic vascular disorders.

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Section: Discussioncontrasting

confidence: 66%

Section: Introductionmentioning

confidence: 99%

Clinical and neuroimaging correlates among cohorts of cerebral arteriostenosis, venostenosis and arterio-venous stenosis

Ding

Guan

Rajah

et al. 2019

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“…In general, the upper IJV is susceptible to compression by the lateral mass of cervical vertebrae at the C1 segment and by the styloid processes, while the middle and lower IJV are more susceptible to compression by the adjacent carotid artery, lymph nodes, and aberrant muscles. Of all these potentially impinging structures, bone appears to be the most common culprit, with previous studies showing that about 40% of extrinsic anomalies are bony in origin [ 14 , 15 ]. A recent study showed that the incidence of IJV stenosis secondary to external compression reached 41.9% in a Chinese cohort [ 139 ].…”

Section: Internal Jugular Vein (Ijv) Stenosismentioning

confidence: 99%

Pathogenesis and Management in Cerebrovenous Outflow Disorders

et al. 2021

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“…Intracranial venous outflow insufficiency has attracted much attention in clinical practice due to the typical symptoms. However, as an indispensable part of the cerebral venous system, the disturbance of the extracranial cerebrospinal venous system is far from fully recognized by the non-specific clinical presentations and inadequate awareness (1,2).…”

Section: Introductionmentioning

confidence: 99%

Clinical Classification and Collateral Circulation in Chronic Cerebrospinal Venous Insufficiency

et al. 2020

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Background: As an indispensable part of the cerebral venous system, the extracranial cerebrospinal venous system is not fully recognized. This study aimed to analyze the clinical classification and imaging characteristics of chronic cerebrospinal venous insufficiency (CCSVI) quantitatively. Methods: A total of 128 patients, who were diagnosed as CCSVI by jugular ultrasound and contrast-enhanced magnetic resonance venography (CE-MRV), were enrolled from May 2018 through May 2019. For the patients with possible extraluminal compression, computed tomography venography (CTV) was applied to estimate the degree of internal jugular venous stenosis (IJVS) and rank the vertebral venous collateral circulation. Results: The causes of extraluminal compression induced IJVS included osseous compression (78.95%), carotid artery (24.21%), sternocleidomastoid muscle (5.79%), swollen lymph node (1.05%), and unknown reasons (5.26%). The subtypes of non-compression CCSVI included the high jugular bulb (77.27%), fenestration of the internal jugular vein (IJV) (7.27%), internal jugular phlebectasia (2.73%), tortuous IJV (0.91%), IJV thrombosis (14.55%), and elongated venous valves with/without erythrocyte aggregation (13.64%). For extraluminal compression induced IJVS, the ratio of severe vertebral venous expansion was higher in the severe IJVS group than that in the mild IJVS group (p < 0.001). The IJVS degree was higher in the severe vertebral venous expansion group than in the mild vertebral venous expansion group (p < 0.001). Conclusions: A multimodal diagnostic system is necessary to improve the diagnostic accuracy of CCSVI. The vertebral venous system is an important collateral circulation for CCSVI, which may be a promising indicator for evaluating IJVS degree.

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The comparative analysis of non-thrombotic internal jugular vein stenosis and cerebral venous sinus stenosis

Cited by 31 publications

References 21 publications

Clinical and neuroimaging correlates among cohorts of cerebral arteriostenosis, venostenosis and arterio-venous stenosis

Clinical and neuroimaging correlates among cohorts of cerebral arteriostenosis, venostenosis and arterio-venous stenosis

Pathogenesis and Management in Cerebrovenous Outflow Disorders

Clinical Classification and Collateral Circulation in Chronic Cerebrospinal Venous Insufficiency

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