https://doi.org/10.4081/vl.2023.12145

Endovascular treatment of a right internal jugular vein occlusion in a hemodialysis patient with severe neurological symptomatology

Vol. 12 (2023)
Submitted: 29 November 2023
Accepted: 1 December 2023
Published: 4 December 2023
Internal jugular vein occlusion, headache, phlebography
Abstract Views: 597
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Authors

Martina Maria Giambra
giambramartina@gmail.com
https://orcid.org/0000-0001-9911-5227
Division of Vascular Surgery, A.O.U. Policlinico “G. Rodolico - San Marco”, University of Catania, Italy.
Gaetano Lomonaco
Division of Vascular Surgery, A.O.U. Policlinico “G. Rodolico - San Marco”, University of Catania, Italy.
Maria Grazia Lumia
https://orcid.org/0009-0004-7007-3755
Division of Vascular Surgery, A.O.U. Policlinico “G. Rodolico - San Marco”, University of Catania, Italy.
Marco Barbanti
University Kore of Enna, Italy.
Francesco Setacci
Division of Vascular Surgery, A.O.U. Policlinico “G. Rodolico - San Marco”, University of Catania; University Kore of Enna;, Italy.
Alessia Giaquinta
Division of Vascular Surgery, A.O.U. Policlinico “G. Rodolico - San Marco”, University of Catania, Italy.
Giuseppe Roscitano
Division of Vascular Surgery, A.O.U. Policlinico “G. Rodolico - San Marco”, University of Catania, Italy.
Massimiliano Veroux
Organ Transplant Unit, Department of Surgical and Medical Sciences and Advanced Technologies, University Hospital of Catania, Italy.
Pierfrancesco Veroux
https://orcid.org/0000-0003-4965-7137
Division of Vascular Surgery, A.O.U. Policlinico “G. Rodolico - San Marco”, University of Catania, Italy.

In the last decade, Internal Jugular Vein (IJV) obstructive disease has been gaining increasing attention due to different confounding symptoms that impair patients’ quality of life and cannot be explained by other established causes. The most common clinical symptoms associated with IJV stenosis are tinnitus and sleep disturbances (60.5%), headache (48.8%), visual disturbances (39.5%), hearing disorders (39.5%) and anxiety or depression (37.5%). We report a complex case of a woman with a wide range of severe neurological inexplicable disorders. Using Duplex Ultrasound, an IJV occlusion was successfully diagnosed and the patient was then treated using endovascular techniques. IJVs occlusion and outflow alteration were detected by the means of Duplex Ultrasound (DUS) demonstrating the need of a carefully assessment of neck vessels in patients with drug-resistant neurological symptomatology as headache, tinnitus and sleep disturbances.

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How to Cite

Giambra, M. M., Lomonaco, G., Lumia, M. G., Barbanti, M., Setacci, F., Giaquinta, A., Roscitano, G., Veroux, M., & Veroux, P. (2023). Endovascular treatment of a right internal jugular vein occlusion in a hemodialysis patient with severe neurological symptomatology. Veins and Lymphatics, 12(1). https://doi.org/10.4081/vl.2023.12145
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