Adler J R, Ropper A H
Arch Neurol. 1986 Mar;43(3):257-9. doi: 10.1001/archneur.1986.00520030047011.
The association between self-audible bruits and ipsilateral high jugular bulbs was demonstrated in five patients, emphasizing the benign nature of the condition. Symptoms included a unilateral pulsatile "whooshing" that was eliminated by gentle pressure on the neck or extreme head rotation to the symptomatic side and was enhanced by conditions that increased cardiac output. The bruits were not audible to examiners. On the basis of one patient with an intracranial tumor, it is proposed that raised intracranial pressure alone, in the absence of a jugular bulb abnormality, is an insufficient explanation for a venous self-audible bruit.
在五名患者中证实了自我可闻性杂音与同侧高位颈静脉球之间的关联，强调了该病症的良性性质。症状包括单侧搏动性“呼呼”声，通过轻轻按压颈部或向有症状一侧极度旋转头部可消除该声音，而增加心输出量的情况会使其增强。检查者听不到这些杂音。基于一名患有颅内肿瘤的患者，有人提出，在没有颈静脉球异常的情况下，仅颅内压升高不足以解释静脉自我可闻性杂音。
