Hostname: page-component-586b7cd67f-gb8f7 Total loading time: 0 Render date: 2024-11-28T05:27:08.518Z Has data issue: false hasContentIssue false

Primary presentation of spontaneous jugular vein thrombosis to the otolaryngologist - in three different pathologies

Published online by Cambridge University Press:  29 June 2007

U. S. Kale
Affiliation:
Department of Otolaryngology, North Riding Infirmary, Middlesbrough, UK.
R. G. Wight*
Affiliation:
Department of Otolaryngology, North Riding Infirmary, Middlesbrough, UK.
*
Address for correspondence: Mr Richard Wight, F.R.C.S., North Riding Infirmary, Newport Road, Middlesbrough TS1 5JE.

Abstract

An otolaryngologist is conversant with the potential of middle-ear disease leading to lateral sinus thrombosis and subsequent jugular vein thrombosis, although this is becoming an increasingly rare event. Spontaneous jugular vein thrombosis from non-otological causes, however, is not well described in the otolaryngology literature. We present three cases of jugular vein thrombosis who presented primarily to the Otolaryngology department each attributable to a different pathology including discoid lupus erythematosus, antiphospholipid syndrome and metastatic malignancy. Awareness needs to be increased of this condition in the differential diagnosis of acute neck swelling and neck pain.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1998

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Cohen, J. P., Persky, M. S., Reede, D. L. (1985) Internal jugular vein thrombosis. Laryngoscope 95: 14781482.CrossRefGoogle ScholarPubMed
Espiritu, M., Medina, J. (1980) Complications of heroin injections of the neck. Laryngoscope 90: 11111119.CrossRefGoogle ScholarPubMed
Hughes, G. R. V. (1993) The antiphospholipid syndrome: ten years on. Lancet 342: 341344.CrossRefGoogle Scholar
Kalan, A., Tariq, M, Harar, R. P. S., Gatland, D. (1996) Spontaneous internal jugular vein thrombosis and recurrent laryngeal nerve palsy: a rare simultaneous presentation of an occult malignant neoplasm. Journal of Laryngology and Otology 110: 11661168.CrossRefGoogle ScholarPubMed
Keung, Y. K., Cobos, E., Meyerrose, G. E., Roberson, G. H. (1996) Progressive thrombosis after treatment of diffuse large cell non-hodgkin's lymphoma and concomitant lupus anticoagulant. Leukaemia and Lymphoma 20: 341345.Google Scholar
Langlieb, A. M, Dunton, C. J., Carlson, J. A. Jr. (1992) Spontaneous internal jugular vein thrombosis associated with leiomyosarcoma of the omentum. Gynecologic Oncology 47: 125126.CrossRefGoogle ScholarPubMed
Liu, P. G., Jacobs, J. B., Reede, D. L. (1985) Trousseau's syndrome in the head and neck. American Journal of Otolaryngology 6: 405408.CrossRefGoogle ScholarPubMed
Mehrar, G. L., Colley, D. P., Clark, R. A., Herwig, S. R. (1981) Computed tomographic demonstration of cervical abscess and jugular vein thrombosis. Archives of Otolaryngology 107: 313315.Google Scholar
Patel, S., Brennan, J. (1981) Diagnosis of internal jugular vein thrombosis by computed tomography. Journal of Computer Assisted Tomography 5 (2): 197200.Google Scholar
Rhodes, E. G. H. (1996) Thrombophilia and the surgeon. Annals of the Royal College of Surgeons of England 78: 331335.Google ScholarPubMed
Yan, P., Norante, J. (1980) Thrombophlebitis of the internal jugular vein secondary to pharyngitis. Archives of Otolaryngology 106: 507508.Google Scholar