Internal jugular vein duplication: a further truncular malformation in a patient with multiple sclerosis

2011 ◽  
Vol 27 (4) ◽  
pp. 194-196 ◽  
Author(s):  
D Radak ◽  
S Tanaskovic ◽  
S Marinkovic ◽  
Z Antonic ◽  
J Kolar
Keyword(s):  
Multiple Sclerosis ◽  
Internal Jugular Vein ◽  
Doppler Ultrasonography ◽  
Multislice Computed Tomography ◽  
Jugular Vein ◽  
Incidental Finding ◽  
Venous Malformation ◽  
Colour Doppler ◽  
Complete Occlusion ◽  
Colour Doppler Ultrasonography

Different internal jugular vein (IJV) abnormalities can be found in patients with multiple sclerosis (MS): stenoses, complete occlusion, distortions and intraluminal structures, such as membranes, webs and inverted valves. IJV duplication is a very rare phenomenon. We report a case of right IJV duplication as an incidental finding during IJV morphological and haemodynamic assessment in a patient with MS. A 55-year-old female patient was admitted to our Institute for IJV and vertebral veins morphological and haemodynamic assessment. During the last seven years she had been treated for MS. Colour Doppler ultrasonography in our patient did not reveal IJV or vertebral veins stenoses or abnormal valves, but instead right IJV duplication. This finding was confirmed using multislice computed tomography angiography and by selective phlebography. In conclusion, to our knowledge, a case of IJV duplication in a patient with MS has not been described yet. This further venous malformation can be assessed by the means of Doppler ultrasounds.

Percutaneous angioplasty of internal jugular and azygous veins in patients with chronic cerebrospinal venous insufficiency and multiple sclerosis: early and mid-term results

2013 ◽  
Vol 29 (6) ◽  
pp. 367-375 ◽  
Author(s):  
Djordje Radak ◽  
Jovo Kolar ◽  
Dragan Sagic ◽  
Nenad Ilijevski ◽  
Slobodan Tanaskovic ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Postoperative Complications ◽  
Endovascular Treatment ◽  
Doppler Ultrasonography ◽  
Venous Insufficiency ◽  
Disease Status ◽  
Percutaneous Angioplasty ◽  
Colour Doppler ◽  
Colour Doppler Ultrasonography ◽  
Edss Score

Purpose: To assess the safety of endovascular treatment of chronic cerebrospinal venous insufficiency (CCSVI) in patients with multiple sclerosis (MS). Materials and Methods: A total of 72 patients with CCSVI and MS (44 with relapsing remitting – RR, 4 with primary progressive, 20 with secondary progressive and 4 with benign MS) underwent percutaneous angioplasty. Outcome measures were colour Doppler ultrasonography parameters, gradient pressure at the vein abnormality level, postoperative complications, re-stenosis, disease severity scored by means of Expanded Disability Status Scale (EDSS) and patients’ assumption of disease status. Controls were done after one month on 72 patients, six months on 69 patients and one year on 61 patients, respectively (the average follow-up was 11 months). Results: There were no postoperative complications. Colour Doppler ultrasonography showed significant improvement in cross-sectional area parameters ( P < 0.05) and significant decrease in confluence velocity values ( P < 0.05). Postoperative gradient pressure decreased, in internal jugular vein (IJV) significantly ( P < 0.05). Re-stenosis appeared in 5.3% of patients. EDSS score was significantly improved ( P < 0.01) and about half of patients reported significant or mild improvement in disease status and none of them worsening of symptoms. Conclusion: Endovascular treatment of the IJV and azygous veins in patients with CCSVI and MS is a safe procedure with no post-procedural complications followed by significant improvement of IJV flow haemodynamic parameters and decrease in the EDSS score. Whether CCSVI percutaneous treatment might affect clinical improvement in patients suffering from MS is yet to be seen after completion of major multicentric clinical trials, still it seems like that this procedure is not negligible.

scholarly journals Caliber-Persistent Labial Artery: A Report of a Rarely Recognized Lip Swelling

2018 ◽  
Vol 8 ◽  
pp. 41
Author(s):  
Malarkodi Thanthoni ◽  
P Rajeev ◽  
S Sathasivasubramanian
Keyword(s):  
Doppler Ultrasonography ◽  
Clinical Importance ◽  
Surgical Excision ◽  
Excisional Biopsy ◽  
Vascular Lesion ◽  
Colour Doppler ◽  
Non Invasive ◽  
Colour Doppler Ultrasonography ◽  
Soft Tissue Swelling ◽  
Arterial Branch

Calibre-persistent labial artery (CPLA) is a commonly underdiagnosed vascular lesion of the lip. CPLA is an arterial branch that penetrates the submucosal tissue without loss of calibre. Clinical diagnosis is significant as misdiagnosis can lead to profuse haemorrhage following an excisional biopsy or surgical excision. Colour Doppler ultrasonography is a safe and non-invasive diagnostic tool to confirm the diagnosis. Here, we report a case of a 24-year-old man who complained of an asymptomatic pulsating non-progressive nodule on the left side of upper lip initially diagnosed as peripheral angiomatous lesion. Diagnosis was confirmed by high-resolution Colour Doppler Ultrasonography. The purpose of this case report is to highlight the clinical importance and diagnosis of a rarely reported soft tissue swelling of the lip to the attention of clinicians.

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