scholarly journals The omohyoid and sternocleidomastoid muscles entrapment of the internal jugular vein: Which role in Mèniére disease patients? Treatment perspective description

2018 ◽  
Vol 7 (3) ◽  
Author(s):  
Davide Piraino ◽  
Girolamo Garofalo ◽  
Antonella Faletra ◽  
Aldo Messina
Keyword(s):  
Inner Ear ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Color Doppler ◽  
Venous Outflow ◽  
Meniere Disease ◽  
Jugular Veins ◽  
Physiotherapy Program ◽  
Doppler Evaluation ◽  
Menière Disease

The objectives were to analyze the Internal Jugular vein entrapment caused by muscles compression and the possible role and correlation in Mèniére disease. We describe the eco-color Doppler evaluation of a sternocleidomastoid and omohyoid muscles compression of internal jugular vein in a Mèniére patient, responsible of an anomalous venous cerebral and ear outflow. The proposed treatment was a three months muscolar decontractration physiotherapy program. The physiotherapy session allowed a complete muscles relaxation with an improvement of Internal Jugular vein caliber associated to a normalized cerebral and inner ear venous outflow and a progressive attenuation of Mèniére symptoms during the treatment and its disappearance at the end of the physiotherapy program. The comfort of the patient was confirmed during one-year follow-up. Muscles entrapment of Internal Jugular veins may be correlated with an anomalous cerebral and inner ear venous outflow, promoting the Mèniére disease symptoms. Physiotherapy treatment may represent an intriguing option alternatively of muscle surgical. The present case seems to indicate a possible first line treatment by physiotherapy, reserving surgical resection to not responders. Further studies with a wider sample of patients are warranted.

scholarly journals Bridging the gap between chronic cerebrospinal venous insufficiency and Ménière disease

2016 ◽  
Vol 5 (2) ◽  
Author(s):  
Dario C. Alpini ◽  
Pietro M. Bavera ◽  
Federica Di Berardino ◽  
Stefania Barozzi ◽  
Piero Cecconi ◽  
...  
Keyword(s):  
Inner Ear ◽  
Major Part ◽  
Venous Insufficiency ◽  
Endolymphatic Hydrops ◽  
Meniere Disease ◽  
Number Of Patients ◽  
Hydraulic Mechanism ◽  
Collateral Pathways ◽  
Menière Disease ◽  
Global Brain

Ménière disease (MD) is a chronic illness of the inner ear that affects a substantial number of patients every year worldwide. Because of a dearth of well-controlled studies, the medical and surgical management of MD remains quite empirical. The main reason is that it is very difficult to investigate patients affected with Certain MD due to the post-mortem criterion necessary for this diagnostic grade. Although Endolymphatic Hydrops (EH) is the worldwide accepted mechanism of MD, the causes that induce it are still not clear. In fact MD has been correlated mostly to a wide and different disturbances ranging from trauma to sleep disorders. It is nowadays sufficiently demonstrated that Chronic Cerebro Spinal Venous Insufficiency (CCSVI) is very frequent in MD. Even if CCSVI may potentially induce EH through a pure hydraulic mechanism CCSVI, per se does not explain how the various disorders correlated with MD may interact with CCSVI and provoke EH. The aim of this review is an attempt to approach MD into the context of the more recent findings about the global brain waste clearance system, to which inner ear is anatomically and functionally connected, in order to build a reasonable model of MD pathogenesis. The major part of the diseases correlated to MD may act on the inner ear disturbing the Glymphatic (GS) and/or Brain Lymphatic System (BLS) activity. The venous system interplays with GS and BLS. In this model CCSVI is considered more than a direct cause of MD rather the anatomical predisposition to develop the disease. In this model EH, and then MD, is the consequence of a failure of the compensation of the congenital venous abnormalities, anatomical compensation as collateral pathways and/or functional compensation as GS and BLS. In this model the major part of the disturbances correlated to MD and the various treatment proposed find their appropriate placement.

Internal jugular vein thrombosis: an uncommon presentation

Vascular ◽  
2013 ◽  
Vol 21 (4) ◽  
pp. 267-269 ◽  
Author(s):  
Sachin Mittal ◽  
Pradeep Garg ◽  
Surender Verma ◽  
Sandeep Bhoriwal ◽  
Sourabh Aggarwal
Keyword(s):  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Sinus Thrombosis ◽  
Color Doppler ◽  
Venous Catheter ◽  
Neck Surgery ◽  
Jugular Vein Thrombosis ◽  
Vein Thrombosis ◽  
Uncommon Presentation ◽  
Internal Jugular Vein Thrombosis

Internal jugular vein (IJV) thrombosis is a rare entity. It is usually secondary to various etiologies such as ovarian hyperstimulation, deep vein thrombosis of upper limbs, venous catheter, malignancy, trauma, infection, and neck surgery and hypercoagulable status. We report an unusual case of internal jugular vein thrombosis with cerebral sinus thrombosis, postpartum in a 22-year-old female patient who presented with a painful swelling on the left side of her neck. Diagnosis was established by color Doppler ultrasonography and magnetic resonance venography. Thorough evaluation of the patient revealed no etiological factor leading to thrombosis. Patient was treated with low-molecular-weight heparin.

scholarly journals On the consistency of flow rate color Doppler assessment for the internal jugular vein

2014 ◽  
Vol 3 (1) ◽  
Author(s):  
Francesco Sisini ◽  
Sergio Gianesini ◽  
Erica Menegatti ◽  
Angelo Taibi ◽  
Mirko Tessari ◽  
...  
Keyword(s):  
Internal Jugular Vein ◽  
Flow Rate ◽  
Jugular Vein ◽  
Color Doppler

scholarly journals Differences between Internal Jugular Vein and Vertebral Vein Flow Examined in Real Time with the Use of Multigate Ultrasound Color Doppler

2013 ◽  
Vol 34 (10) ◽  
pp. 2000-2004 ◽  
Author(s):  
G. Ciuti ◽  
D. Righi ◽  
L. Forzoni ◽  
A. Fabbri ◽  
A. Moggi Pignone
Keyword(s):  
Real Time ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Color Doppler

scholarly journals The Influence of the Univent® Endotracheal Tube on Internal Jugular Vein Cannulation

2005 ◽  
Vol 33 (1) ◽  
pp. 82-86 ◽  
Author(s):  
W. Schummer ◽  
C. Schummer ◽  
R. Frober ◽  
J. Fuchs ◽  
M. Simon ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Endotracheal Tube ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Clinical Investigation ◽  
Lateral Displacement ◽  
Left Internal Jugular Vein ◽  
Jugular Veins ◽  
Cross Sectional ◽  
The Right

This prospective clinical investigation assessed the effect of placement of a Univent® tube on the anatomy of the internal jugular veins and the success of cannulation of the left internal jugular vein. After obtaining informed consent, 48 adult patients were enrolled. Of these, 42 patients were eligible and were divided into two groups: Univent® tube (group U, n=21) and wire enforced endotracheal tube (group C, n=21). The Univent® tube group were having a left thoracotomy. Using horizontal ultrasound scans just above the thyroid gland, the internal jugular vein was visualized and measured before and after Univent® placement. The number of needle passes necessary to cannulate the left internal jugular vein in the two groups was also compared. Univent® tubes were associated with lateral displacement of the right carotid artery and internal jugular vein on the convex side of the Univent® tube, with compression of the right internal jugular vein by the artery, resulting in a kidney-shaped cross-section of the vein. On the left (concave side of the tube), the neck was indented, the sheath of the left carotid artery was displaced medially, and the left internal jugular vein distorted to an ellipse. There was a significant increase in the lateral diameter and a decrease in the cross-sectional area of the left internal jugular vein (t-test, P<0.05). The first attempt at cannulation of the left internal jugular vein failed significantly more often in the Univent® group (13/21 vs 5/21 in group C, Chi-square 6.22, P=0.025). Cannulation of the internal jugular vein before placement of the Univent® tube, or placement with ultrasound guidance is suggested.

Competence of the Internal Jugular Vein Valve Is Damaged by Cannulation and Catheterization of the Internal Jugular Vein

2000 ◽  
Vol 93 (2) ◽  
pp. 319-324 ◽  
Author(s):  
Xianren Wu ◽  
Wolfgang Studer ◽  
Thomas Erb ◽  
Karl Skarvan ◽  
Manfred D. Seeberger
Keyword(s):  
Central Venous Catheter ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Color Doppler ◽  
Venous Catheter ◽  
Color Doppler Ultrasound ◽  
Surgical Patients ◽  
Venous Cannulation ◽  
Central Venous ◽  
Distal Site

Background Experimental results suggest that the competence of the internal jugular vein (IJV) valve may be damaged when the IJV is cannulated for insertion of a central venous catheter. It has further been hypothesized that the risk of causing incompetence of the proximally located valve might be reduced by using a more distal site for venous cannulation. The present study evaluated these hypotheses in surgical patients. Methods Ninety-one patients without preexisting incompetence of the IJV valve were randomly assigned to undergo distal or proximal IJV cannulation (&gt; or = 1 cm above or below the cricoid level, respectively). Color Doppler ultrasound was used to study whether new valvular incompetence was present during Valsalva maneuvers after insertion of a central venous catheter, immediately after removal of the catheter, and, in a subset of patients, several months after catheter removal, when compared with baseline findings before cannulation of the IJV. Results Incompetence of the IJV valve was frequently induced both by proximal and distal cannulation and catheterization of the IJV. Its incidence was higher after proximal than after distal cannulation (76% vs. 41%; P &lt; 0.01) and tended to be so after removal of the catheter (47% vs. 28%; P = 0.07). Valvular incompetence persisting immediately after removal of the catheter did not recover within 8-27 months in most cases. Conclusions Cannulation and catheterization of the IJV may cause persistent incompetence of the IJV valve. Choosing a more distal site for venous cannulation may slightly lower the risk of causing valvular incompetence but does not reliably avoid it.

scholarly journals Comparative studies of the therapeutic effects of inner ear anesthesia and middle ear infusion of a steroid solution for Meniere disease.

1987 ◽  
Vol 80 (1) ◽  
pp. 57-65 ◽  
Author(s):  
Eiji Sakata ◽  
Naoko Itoh ◽  
Akinori Itoh ◽  
Hiroshi Nakazawa ◽  
Koki Nakaigawa ◽  
...  
Keyword(s):  
Inner Ear ◽  
Middle Ear ◽  
Comparative Studies ◽  
Therapeutic Effects ◽  
Meniere Disease ◽  
Menière Disease

scholarly journals Ultrastructure of internal jugular vein defective valves

2014 ◽  
Vol 30 (9) ◽  
pp. 644-647 ◽  
Author(s):  
P Zamboni ◽  
V Tisato ◽  
E Menegatti ◽  
F Mascoli ◽  
S Gianesini ◽  
...  
Keyword(s):  
Electron Microscopy ◽  
Scanning Electron Microscopy ◽  
Endothelial Cells ◽  
Internal Jugular Vein ◽  
Venous Insufficiency ◽  
Jugular Vein ◽  
Jugular Veins ◽  
Progressive Loss ◽  
Adjacent Wall ◽  
Scanning Electron

Objectives To study the ultrastructure of intraluminal defects found in the internal jugular vein by using a scanning electron microscopy. Methods Using a scanning electron microscopy, intraluminal septa and/or defective valves blocking the flow in the distal internal jugular vein of seven patients were studied together with the adjacent wall and compared with control specimen. Results The internal jugular veins’ wall showed a significant derangement of the endothelial layer as compared to controls. Surprisingly, no endothelial cells were found in the defective cusps, and the surface of the structure is covered by a fibro-reticular lamina. Conclusions Although the lack of endothelial cells in the internal jugular vein intraluminal obstacles is a further abnormality found in course of chronic cerebrospinal venous insufficiency, our investigation cannot clarify whether this finding is primary or caused by progressive loss of endothelium in relation to altered haemodynamic forces and/or to a past post-thrombotic/inflammatory remodelling.

scholarly journals The role of omohyoid muscle entrapment of the internal jugular vein and is surgical transection in Ménière’s disease and other inner ear disorders

2019 ◽  
Vol 8 (2) ◽  
Author(s):  
Giuseppe Nicolò Frau ◽  
Raffaello Pagani ◽  
Francesca Maronato ◽  
Nivedita Agarwal ◽  
Christian Contarino ◽  
...  
Keyword(s):  
Inner Ear ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Meniere’S Disease ◽  
Ménière’S Disease ◽  
Menière's Disease ◽  
Ménière's Disease ◽  
Omohyoid Muscle ◽  
Inner Ear Disorders

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