Clinical characteristics and neuroimaging findings in eagle syndrome induced internal jugular vein stenosis

Bai, Chaobo; Wang, Zhongao; Guan, Jingwei; Jin, Kyong-Suk; Ding, Yuchuan; Ji, Xunming; Wang, Mengqi

doi:10.21037/atm.2019.12.93

Cited by 25 publications

(25 citation statements)

References 27 publications

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“…1 Patients usually present with dysphagia and foreign body sensation and, occasionally, transient ischemic attacks, cerebrovascular insults, and carotid artery dissection. 2,3 In this case report, the syndrome was present with a single unusual symptom: pain in a portion of the left external ear.…”

Section: Introductionmentioning

confidence: 80%

Unusual Symptomatology in Eagle Syndrome

Pace

Rossetti

Iannella

et al. 2020

Clin Med Insights Case Rep

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A 20-year-old female presented a history of isolate left external ear pain. ENT valuation showed no alteration of the district, but an aberrant styloid process was tender to palpation in the left tonsillar fossa. Computer tomography was performed and confirmed it. Thereafter, the diagnosis of Eagle syndrome was made. The auricular branch of the vagal nerve (ABVN) was pressed by the styloid process causing the pain. This case pointed out the importance to consider anatomical alteration as elongated styloid process as a possible cause of external ear pain.

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Section: Introductionmentioning

confidence: 80%

Unusual Symptomatology in Eagle Syndrome

Pace

Rossetti

Iannella

et al. 2020

Clin Med Insights Case Rep

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“…In addition to tinnitus, hearing impairment or dizziness were reported in about ¼ of patients, suggesting also blood flow circulatory disturbances in auditory-related structures (14).…”

Section: Discussionmentioning

confidence: 99%

“…Clinical presentation may be variable and nonspecific (headache, anxiety and neck discomfort, head noises, tinnitus, hearing loss, memory loss, visual disorders, insomnia) (14), and due to the limited number of cases reported in literature, no clear definitions or classifications are nowadays available. Several treatments have been proposed including diuretics, surgery or endovascular procedures.…”

Section: Introductionmentioning

confidence: 99%

Styloidogenic-cervical spondylotic internal jugular venous compression, a vascular disease related to several clinical neurological manifestations: diagnosis and treatment—a comprehensive literature review

Scerrati¹,

Norri²,

Mongardi³

et al. 2021

Ann Transl Med

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Internal jugular vein (IJV) stenosis is associated with several central nervous system disorders such as Ménière or Alzheimer's disease. The extrinsic compression between the styloid process and the C1 transverse process, is an emerging biomarker related to several clinical manifestations. However, nowadays a limited number of cases are reported, and few information are available about treatment, outcome and complications. Our aim is to collect and identify clinical-radiological characteristics, diagnosis and treatment of the styloidogenic internal jugular venous compression. We performed a comprehensive literature review. Studies reporting patients suffering from extracranial jugular stenosis were searched. For every patient we collected: demography, clinical and radiological characteristics and outcome, type of treatment, complications. Thirteen articles reporting 149 patients were included. Clinical presentation was nonspecific. Most frequent symptoms were headache (46.3%), tinnitus (43.6%), insomnia (39.6%). The stenosis was monolateral in 51 patients (45.9%) and bilateral in 60 (54.1%). Anticoagulants were the most common prescribed drug (57.4%). Endovascular treatment was performed in 50 patients (33.6%), surgery in 55 (36.9%), combined in 28 (18.8%). Improvement of general conditions was reported in 58/80 patients (72.5%).Complications were reported in 23% of cases. Jugular stenosis is a complex and often underestimated disease. Conservative medical treatment usually fails while surgical, endovascular or a combined treatment improves general conditions in more than 70% of patients.

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“…The term lower RIJ stenosis is used clinically as a means of central venous stenosis (CVS) compared with upper RIJ stenosis, which is used in diseases such as multiple sclerosis [ 22 ], eagle syndrome [ 23 ], and Meniere’s syndrome [ 24 ]. Because patients with CVS are often asymptomatic, the actual incidence of CVS is difficult to determine.…”

Section: Discussionmentioning

confidence: 99%

Hemodialysis as a Risk Factor for Lower Right Internal Jugular Stenosis in Cardiac Surgery Patients: A Retrospective Single-Center Study

Yang

et al. 2021

JCM

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Lower right internal jugular vein (RIJ) stenosis has been reported as a common cause of RIJ catheterization failure. However, the risk factors for lower RIJ stenosis in patients undergoing cardiac surgery is unclear. We reviewed the electronic medical records of all adult patients who had undergone cardiac operations in a single tertiary university hospital from January 2014 to January 2016. Patients were excluded if they were lack of preoperative contrast-enhanced chest computed tomography (CT) studies. Lower RIJ stenosis was defined as a ratio of cross-sectional area at the smallest level to cross-sectional area at the largest level less than 25%. Multivariable logistic regression analyses were used to investigate the risk factors for lower RIJ stenosis. A sensitivity analysis was also conducted using a cross-sectional area ratio of under 20%. The analysis included 889 patients, and the incidence of lower RIJ stenosis was 3.9%. The multivariable logistic regression analyses revealed that hemodialysis was an independent risk factor for lower RIJ stenosis (OR, 3.54; 95% CI, 1.472–8.514). Sensitivity analysis provided that hemodialysis (OR, 10.842; 95% CI, 3.589–32.75) was a significant predictor of cross-sectional area ratio <20%. Preoperative hemodialysis are significantly associated with an increased risk of lower RIJ stenosis in patients undergoing cardiac surgery. Extra care is needed during central venous catheterization in hemodialysis patients undergoing cardiac surgery.

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Clinical characteristics and neuroimaging findings in eagle syndrome induced internal jugular vein stenosis

Cited by 25 publications

References 27 publications

Unusual Symptomatology in Eagle Syndrome

Unusual Symptomatology in Eagle Syndrome

Styloidogenic-cervical spondylotic internal jugular venous compression, a vascular disease related to several clinical neurological manifestations: diagnosis and treatment—a comprehensive literature review

Hemodialysis as a Risk Factor for Lower Right Internal Jugular Stenosis in Cardiac Surgery Patients: A Retrospective Single-Center Study

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