Malik Virender, Kumari Abha, Murthy Tvsp
Department of Radiology, Military Hospital Gwalior, Morar Cantonment, Gwalior, Madhya Pradesh, India.
Department of ENT, Military Hospital Gwalior, Morar Cantonment, Gwalior, Madhya Pradesh, India.
Int J Appl Basic Med Res. 2015 Jan-Apr;5(1):58-60. doi: 10.4103/2229-516X.149247.
Internal jugular vein (IJV) phlebectasia is rare in occurrence and is frequently misdiagnosed and managed inappropriately. It commonly presents as a unilateral neck swelling which typically increases in size with valsalva maneuver. Although, the most common cause of a focal neck swelling, which increases in size with valsalva maneuver is laryngocele, the possibility of phlebectasia of IJV should always be borne in mind, especially in child. Owing to the rarity of this condition, a high index of suspicion is required to recognize the same and managed appropriately. We present a case of phlebectasia of the right IJV with intracranial extension and discuss its management. The case is being reported in view of its clinical rarity (the intracranial extension being extremely rare) and to highlight the available management strategies.
颈内静脉扩张症较为罕见，常被误诊且治疗不当。其通常表现为单侧颈部肿胀，在瓦尔萨尔瓦动作时肿胀通常会增大。虽然瓦尔萨尔瓦动作时增大的局限性颈部肿胀最常见的原因是喉膨出，但应始终牢记颈内静脉扩张症的可能性，尤其是在儿童中。由于这种情况罕见，需要高度怀疑才能识别并进行适当治疗。我们报告一例右侧颈内静脉扩张症伴颅内扩展的病例并讨论其治疗。鉴于其临床罕见性（颅内扩展极为罕见）并突出可用的治疗策略，现报告此病例。
