Teodorescu L, Stratulat E, Cornea I, Cotrutz C
Ann Otolaryngol Chir Cervicofac. 1978 Jun;95(6):411-6.
The authors present the case of a 14 year-old girl having the cervical deformity developed on the background of influenza and sore throat and was caused by an apparently minor sports injury, with vertebrocervical lesion and rupture of the inner wall of the jugular vein. The painful onset symptomatology, initially attributed to exacerbation of the anginous process and cervical adenitis, evolved towards phonation, deglutition, nervous and final respiratory disturbances. The progressive evolution and gravity of the clinical picture imposed craniocervical surgery, with exclusion of the lateral intramastoid sinus and resection of the extensive ectatic cervicoprevertebral pouch. The authors discuss the mechanism of the vascular lesion, the clinical picture, evolution, diagnosis and therapy, which totaly differed from classical descriptions of phlebectasia of the jugular vein.
作者报告了一例14岁女孩的病例,其颈椎畸形在流感和喉咙痛的背景下发展,由明显轻微的运动损伤引起,伴有椎颈病变和颈静脉内壁破裂。疼痛发作的症状最初归因于咽炎和颈腺炎的加重,后来发展为发声、吞咽、神经和最终的呼吸障碍。临床表现的渐进性发展和严重性促使进行颅颈手术,包括排除外侧乳突窦和切除广泛扩张的颈前椎旁袋。作者讨论了血管病变的机制、临床表现、发展、诊断和治疗,这些与颈静脉静脉曲张的经典描述完全不同。