Abstract:
OBJECTIVES:To evaluate the role of the omohyoid muscle anatomic variants as a possible reversible cause of internal jugular vein extrinsic compression. METHOD:We describe a chronic cerebro-spinal venous insufficiency patient, who presented a omohyoid muscle entrapment of the internal jugular vein, confirmed by both magnetic resonance venography and ultrasound investigation. A omohyoid muscle surgical transection together with a patch angioplasty was performed. RESULTS:The surgical procedure led to both IJV flow restoration and neurological improvement. CONCLUSIONS:The omohyoid muscle compression on the internal jugular vein seems to be a possible cause of venous obstruction, but several anatomical and patho-physiological aspects need further investigations. Such picture might cause balloon venous angioplasty inefficacy and needs to be preoperatively considered.
journal_name
Phlebologyjournal_title
Phlebologyauthors
Gianesini S,Menegatti E,Mascoli F,Salvi F,Bastianello S,Zamboni Pdoi
10.1177/0268355513489549subject
Has Abstractpub_date
2014-10-01 00:00:00pages
632-5issue
9eissn
0268-3555issn
1758-1125pii
0268355513489549journal_volume
29pub_type
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