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Table of Contents    
LETTER TO EDITOR
Year : 2013  |  Volume : 61  |  Issue : 5  |  Page : 526

Internal jugular, subclavian and brachiocephalic vein thrombosis associated with cerebral venous sinus thrombosis


Department of Neurology, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India

Date of Submission21-Aug-2013
Date of Decision06-Sep-2013
Date of Acceptance13-Oct-2013
Date of Web Publication22-Nov-2013

Correspondence Address:
Girish Baburao Kulkarni
Department of Neurology, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.121935

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How to cite this article:
Kulkarni GB, Mustare V, Varghese V. Internal jugular, subclavian and brachiocephalic vein thrombosis associated with cerebral venous sinus thrombosis. Neurol India 2013;61:526

How to cite this URL:
Kulkarni GB, Mustare V, Varghese V. Internal jugular, subclavian and brachiocephalic vein thrombosis associated with cerebral venous sinus thrombosis. Neurol India [serial online] 2013 [cited 2022 May 21];61:526. Available from: https://www.neurologyindia.com/text.asp?2013/61/5/526/121935


Sir,

A 23-year-old lady presented on day-12 of postpartum with 3 days history of headache and two episodes of generalized tonic-clonic seizures. Examination revealed bilateral papilledema and mild left-sided hemiparesis. Magnetic resonance imaging and venography showed [Figure 1] extensive thrombosis of superior sagital, bilateral lateral, and straight sinus with right thalamic hyperintensities. She was treated with anticoagulation and anti epileptics and supportive measures. Investigations showed low hemoglobin and hyperhomocysteinemia as risk factors apart from puerperal state. On day-10 of admission, she developed left-sided neck pain and swelling of left upper limb. Computerized tomographic venography [Figure 2] showed thrombosis of left internal jugular (IJV), subclavian (SV), and brachiocephalic veins (BV). She improved with optimization of anticoagulation treatment over the next 10 days.
Figure 1: Magnetic resonance imaging of brain T1 axial section (a), T2 sagital section (b) and magnetic resonance venography (c) showing thrombosis of superior sagital bilateral lateral sinus and straight sinus

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Figure 2: Computerised tomographic venography coronal (a,b) and axial (c,d) showing thrombosis of internal jugular, subclavian, and brachiocephalic veins on left side

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Though there are few reports of IJV thrombosis with cerebral venous thrombosis [1],[2] ; however, involvement of simultaneous three veins (IJV, SV, and BV) has not been reported earlier as per our knowledge.

 
  References Top

1.Beer-Furlan A, de Almeida CC, Noleto G, Paiva W, Ferreira AA, Teixeira MJ. Dural sinus and internal jugular vein thrombosis complicating a blunt head injury in a pediatric patient. Childs Nerv Syst 2013;29:1231-4.  Back to cited text no. 1
[PUBMED]    
2.Mittal S, Garg P, Verma S, Bhoriwal S, Aggarwal S. Internal jugular vein thrombosis: An uncommon presentation. Vascular 2013;21:267-9.  Back to cited text no. 2
    


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