scholarly journals Case report of a rare glomus jugulare tumor extended within the extracranial internal jugular vein: emphasis on initial ultrasound findings and literature review

2018 ◽  
Vol 1 (1) ◽  
pp. 111 ◽  
Author(s):  
Qing Deng ◽  
Yijia Wang ◽  
Xiaoyi Chen ◽  
Qing Zhou

Glomus jugulare tumor (GJT) is a rare benign neoplasm that is located in the skull base; it is impossible for ultrasonography to detect it in most cases. In this article, we present the case of a rare giant GJT, which extended into the internal jugular vein in the neck, initially detected by ultrasonography and confirmed by MRI and pathology. We highlight the initial ultrasonography findings and review the literature to summarize the ultrasonographic features of GJT.

Cephalalgia ◽  
2016 ◽  
Vol 36 (14) ◽  
pp. 1370-1378 ◽  
Author(s):  
Liliana Pereira ◽  
Elisa Campos Costa ◽  
Teresa Nunes ◽  
Paulo Saraiva ◽  
Joel Ferreira ◽  
...  

Background Haemodialysis arteriovenous fistulas have common local and regional complications, but are rarely associated with neurological symptoms. Case report A 43-year-old woman presented with short acute episodes of unilateral, non-throbbing, severe headache, vertigo and left lateropulsion. She had undergone renal transplantation and had a still-functioning left brachial arteriovenous fistula. No abnormality was detected on neurological examination or on brain parenchymal imaging. Colour Doppler ultrasonography showed a subclavian steal syndrome of the left vertebral artery and reversed flow in the left internal jugular vein. Ligation of the arteriovenous fistula had to be delayed as a result of renal graft dysfunction. Six months later she developed a headache attributed to intracranial hypertension. All symptoms subsided after ligation of the arteriovenous fistula. Literature review We identified 16 case reports of central neurological complications attributed to haemodialysis brachial fistulas. Headache descriptions were scarce and were not fully detailed. Conclusions The case of our patient suggests that unilateral, episodic, non-throbbing, non-postural headache with transient neurological symptoms can be caused by combined arterial and venous flow abnormalities secondary to a high-flow arteriovenous brachial fistula. In this setting, this pattern of headache may precede overt signs of intracranial hypertension and may be used as a warning sign of cerebral venous congestion.


2019 ◽  
Vol 130 ◽  
pp. 129-132 ◽  
Author(s):  
Min Li ◽  
Xiaogang Gao ◽  
Gary B. Rajah ◽  
Jiantao Liang ◽  
Jian Chen ◽  
...  

Hand ◽  
2009 ◽  
Vol 5 (2) ◽  
pp. 206-209
Author(s):  
Paul S. Roettges ◽  
Peter M. Murray ◽  
David Hill

Author(s):  
Andrew Alalade ◽  
Christopher Millward ◽  
Piyali Pal ◽  
Catherine Gilkes

Skull Base ◽  
2007 ◽  
Vol 17 (S 1) ◽  
Author(s):  
Alessandro Bertuccio ◽  
Antonio Fioravanti ◽  
Stefano Bartolini ◽  
Filippo Badaloni ◽  
Fabio Calbucci

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Loïc Payrard ◽  
Léa Iten ◽  
Jacques Donzé ◽  
Gregor John

Abstract Background Managing thrombosis in rare sites is challenging. Existing studies and guidelines provide detailed explanations on how to overcome lower-limb thromboses and pulmonary embolisms, but few studies have examined thrombosis in rare sites. Lack of data makes clinical practice heterogeneous. Recommendations for diagnosing, treating, and following-up internal jugular vein thrombosis are not clearly defined and mostly based on adapted guidelines for lower-limb thrombosis. Case presentation A 52-year-old Caucasian woman came to the Emergency Department with chest, neck, and left arm pain. Computed tomography imagery showed a left internal jugular vein thrombosis. An extensive workup revealed a heterozygous factor V Leiden gene. Therapy was initiated with intravenous unfractionated heparin, then switched to oral acenocoumarol, which resolved the symptoms. Based on this case presentation and a literature review, we summarize the causes, treatment options, and prognosis of unprovoked internal jugular vein thrombosis. Conclusions Managing internal jugular vein thrombosis lacks scientific data from large randomized clinical trials, partly because such thromboses are rare. Our literature review suggested that clinical treatments for internal jugular vein thrombosis often followed recommendations for treating lower-limb thrombosis. Future specific studies are required to guide clinicians on the modalities of diagnosis, screening for thrombophilia or oncologic disease, treatment duration, and follow-up.


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