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CASE REPORT

Spontaneous early recanalization of an acute internal jugular vein thrombosis


1 Department of Neurology, National Defense Medical Center, Tri-Service General Hospital, Taipei, Taiwan
2 Department of Neurology, National Defense Medical Center, Tri-Service General Hospital, Taipei; Department of Internal Medicine, Taichung Armed Forces General Hospital, Taichung, Taiwan

Correspondence Address:
Fu-Chi Yang,
Department of Neurology, National Defense Medical Center, Tri-Service General Hospital, 114, No. 325, Section 2, Chenggong Road, Neihu District, Taipei City
Taiwan
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmedsci.jmedsci_144_21

Acute internal jugular vein thrombosis (IJVT) is a rare vascular disease that can cause lethal complications and manifests with varying neurological symptoms. A 42-year-old woman presented with a progressively worsening headache over the left temporal-occipital area and pain in the left posterior nuchal; ultrasonography and magnetic resonance venography (MRV) revealed a thrombosis with critical stenosis in the left internal jugular vein (IJV). Seven days after treatment with an anticoagulant, she exhibited considerable improvement. Follow-up ultrasonography and three-dimensional computed tomography angiography (CTA) indicated spontaneous IJV recanalization. To avoid implementing inappropriate treatments and prevent adverse outcomes, acute IJVT should be considered as a cause of secondary headaches. To determine the prognosis and secondary prophylaxis strategy (i.e., medical or surgical), recanalization should be detected using color-coded duplex ultrasonography and confirmed using MRV or CTA; these are all safe and minimally invasive procedures.


 

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