Petersingham Gayani, Shrestha Nipun, Elliott Michael, Allan Rodney S, Parker Geoffrey, Camp Louise Van, Rao Prashanth J
Brain and Spine Surgery, Bella Vista NSW, Australia; University of New South Wales, Sydney, NSW, Australia.
Brain and Spine Surgery, Bella Vista NSW, Australia.
J Clin Neurosci. 2025 Jul;137:111304. doi: 10.1016/j.jocn.2025.111304. Epub 2025 May 9.
Internal jugular vein (IJV) compression is associated with several central nervous system symptoms, including but not limited to headache, blurred vision, tinnitus, and brain fog. Cranial venous compression is generally treated with stenting; however, the management of cervical IJV compression is not standardised, and there is very limited published data on outcomes. The objective of this review is to assess the current surgical interventions used in patients with cervical IJV compression and their outcomes.
We performed a literature search on electronic databases for original articles studying surgical interventions for cervical IJV compression. All studies, regardless of patient population or study type, were included.
All studies that included at least one case in which a surgical intervention was used to treat cervical IJV compression were considered. Selection criteria had to clearly identify the compression of the IJV in the cervical region. The 14 studies included in this review ranged from case reports to small, single-center cohort studies. Complications were recorded in five studies analysed. Outcome measures varied, but all studies documented the clinical symptoms of the patients.
There is a lack of current large cohort studies or clinical trials analysing surgical interventions for patients with cervical IJV compression. The most common surgical intervention is styloidectomy. By understanding the trends and results of interventions previously performed by ENT and Neurosurgeons, more focused and larger studies can be conducted to determine effective strategies that yield the best clinical outcomes.
颈内静脉（IJV）受压与多种中枢神经系统症状相关，包括但不限于头痛、视力模糊、耳鸣和脑雾。颅内静脉受压一般采用支架置入术治疗；然而，颈内静脉受压的治疗并不规范，且关于治疗结果的已发表数据非常有限。本综述的目的是评估目前用于治疗颈内静脉受压患者的手术干预措施及其结果。
我们在电子数据库中检索了关于研究颈内静脉受压手术干预措施的原始文章。纳入所有研究，无论患者群体或研究类型。
纳入了所有至少包含1例采用手术干预治疗颈内静脉受压病例的研究。选择标准必须明确识别颈段颈内静脉受压情况。本综述纳入的14项研究范围从病例报告到小型单中心队列研究。在分析的5项研究中记录了并发症。结局指标各不相同，但所有研究都记录了患者的临床症状。
目前缺乏针对颈内静脉受压患者手术干预措施的大型队列研究或临床试验。最常见的手术干预是茎突切除术。通过了解耳鼻喉科医生和神经外科医生先前实施的干预措施的趋势和结果，可以开展更具针对性和规模更大的研究，以确定能产生最佳临床结果的有效策略。
