机构:[1]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.神经内科[2]Advanced Center of Stroke, Beijing Institute for Brain Disorders, Beijing, China[3]Department of Medicine, Tianjin Huanhu Hospital, Tianjin Key Laboratory of Cerebrovascular and Neurodegenerative Diseases, Tianjin, China.[4]Department of Neurosurgery, Wayne State University School of Medicine, Detroit, Michigan, 48201, USA[5]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.神经外科
Internal jugular vein stenosis (IJVS) results in poor venous outflow and can result in intracranial hypertension. Venous stenting has become a debated topic for correction of this pathology.
A 49-year-old male merchant with bilateral IJVS presented with headache, dizziness, pulsatile tinnitus. He was found to have intracranial hypertension and left IJVS due to styloid process compression and right IJVS due to damage of the venous intima., His symptoms were improved after undergoing styloidectomy followed by left intra-IJV balloon. However, one year later, the symptoms mentioned above reoccurred, and at this time the patient underwent right intra-IJV stenting. Following treatment of the contralateral side his symptoms resolved during the following three months.
The clinical practice in this case indicated that in patients with bilateral IJVS, two side intervention may be necessary when unilateral correction fails. We advise a staged approach to correction of bilateral IJVS. Styloid compression-induced IJVS should be corrected by styloidectomy in combination with balloon and /or stenting, whereas IJVS induced by venous wall issues need only stenting.
Copyright ? 2019 Elsevier Inc. All rights reserved.
第一作者机构:[1]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.[2]Advanced Center of Stroke, Beijing Institute for Brain Disorders, Beijing, China
通讯作者:
通讯机构:[1]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.[2]Advanced Center of Stroke, Beijing Institute for Brain Disorders, Beijing, China[5]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.
推荐引用方式(GB/T 7714):
Min Li,Xiaogang Gao,Gary B. Rajah,et al.Styloidectomy and venous stenting for treatment of styloid induced internal jugular vein stenosis: a case report and literature review.[J].World neurosurgery.2019,130:129-132.doi:10.1016/j.wneu.2019.06.100.
APA:
Min Li,Xiaogang Gao,Gary B. Rajah,Jiantao Liang,Jian Chen...&Ran Meng.(2019).Styloidectomy and venous stenting for treatment of styloid induced internal jugular vein stenosis: a case report and literature review..World neurosurgery,130,
MLA:
Min Li,et al."Styloidectomy and venous stenting for treatment of styloid induced internal jugular vein stenosis: a case report and literature review.".World neurosurgery 130.(2019):129-132