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Spontaneous internal jugular vein thrombosis and recurrent laryngeal nerve palsy: a rare simultaneous presentation of an occult malignant neoplasm

Published online by Cambridge University Press:  29 June 2007

Ali Kalan ,
Mohammed Tariq ,
R. P. S. Harar  and
David Gatland
Ali Kalan*
Affiliation:
Department of Otolaryngology, Southend General Hospital, Prittlewell Chase, Wetcliff on Sea, Essex, UK.
Mohammed Tariq
Affiliation:
Department of Otolaryngology, Southend General Hospital, Prittlewell Chase, Wetcliff on Sea, Essex, UK.
R. P. S. Harar
Affiliation:
Department of Otolaryngology, Southend General Hospital, Prittlewell Chase, Wetcliff on Sea, Essex, UK.
David Gatland
Affiliation:
Department of Otolaryngology, Southend General Hospital, Prittlewell Chase, Wetcliff on Sea, Essex, UK.
*
Address for correspondence: St Bartholomew's Hospital, P. O. Box 359, West Smithfield, London ECLA 7BE.
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Abstract

Internal jugular vein thrombosis is an uncommon potentially life-threatening disorder caused by various conditions. Non-spontaneous internal jugular vein thrombosis is an uncommon condition associated in the preantibiotic area with deep-neck infections. Currently iatrogenic trauma to the internal jugular vein from catheterisation and repeated intravenous injections by drug abusers are the leading causes of thrombosis. Spontaneous internal jugular vein thrombosis may occur when there are no apparent pre-disposing mechanical or inflammatory causes although a few of these patients may harbour an occult malignant neoplasm. Hence, careful investigation and follow-up are vital. Thrombosis in Trousseau's syndrome is usually confined to the vascular system of the extremities and the viscera. However, secondary to the paraneoplastic hypercoagulable state, thrombosis can occur in the large veins of the head and neck region. We understand this to be the first case where spontaneous internal jugular vein thrombosis and ipsilateral recurrent laryngeal nerve paralysis were the only initial manifestations of an occult malignancy.

Keywords

Jugular veinsThrombosisTrousseau's syndromeRecurrent laryngeal nerve paralysis
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 12 , December 1996 , pp. 1166 - 1168
Copyright
Copyright © JLO (1984) Limited 1996

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