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Internal jugular vein ectasia – a rare cause for paroxysmal cough

Published online by Cambridge University Press:  14 December 2006

K Padmanabhan ,
B Vaishali  and
R Indudharan
K Padmanabhan
Affiliation:
Department of ENT, Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, India.
B Vaishali
Affiliation:
Department of ENT, Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, India.
R Indudharan*
Affiliation:
Department of ENT, Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, India.
*
Address for correspondence: Dr R Indudharan, Professor, Department of ENT, Amrita Institute of Medical Sciences, Kochi, Kerala, 682026India. Fax: 95 484 2802020 E-mail: [email protected]
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Abstract

Internal jugular vein ectasia (dilatation of the internal jugular vein) is a rare clinical entity, often undiagnosed. Usually it presents as an asymptomatic, soft, compressible neck swelling that increases in size on Valsalva's manoeuvre. Our report describes right internal jugular vein ectasia in a 15-year-old girl who presented to us with intractable paroxysmal cough. The entity was suspected on ultrasound imaging and confirmed by computed tomography scan and Doppler. Ligation and excision of the dilated vein almost immediately cured her cough. The probable reason for the cough was the pressure exerted by the dilated vein on the vagus nerve.

Keywords

Jugular VeinsPathologic DilatationDoppler Ultrasound
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 121 , Issue 8 , August 2007 , pp. 742 - 744
Copyright
Copyright © JLO (1984) Limited 2006

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References

1Davis, RJ. Respiratory disease. In: Kumar, P, Clark, M, eds. Clinical Medicine: A text book for Medical students and Doctors, 3rd edn. London: Bailliere Tindall, 1994;667Google Scholar
2Indudharan, R, Quah, BS, Shuaib, IL. Internal jugular phlebectasia – an unusual cause of neck swelling. Ann Trop Paediatr 1999;19:105–8Google Scholar
3Paleri, V, Gopalakrishnan, S. Jugular phlebectasia: theory of pathogenesis and review of literature. Int J Pediatr Otorhinolaryngol 2001;57:155–9CrossRefGoogle ScholarPubMed
4Erdem, CZ, Erdem, LO, Camuzcuoglu, I. Internal jugular phlebectasia: usefulness of color doppler ultrasonography in the diagnosis. J Trop Pediatr 2002;48:306–10CrossRefGoogle ScholarPubMed
5al-Dousary, S. Internal jugular phlebectasia. Int J Pediatr Otorhinolaryngol 1997;38:273–80CrossRefGoogle ScholarPubMed
6Sander, S, Elicevik, M, Unal, M, Vural, O. Jugular phlebectasia in children: is it rare or ignored? J Pediatr Surg 1999;34:1829–32Google Scholar