Imaging Pearls ❯ Vascular ❯ Jugular vein
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- “ Nonspontaneous internal jugular vein thrombosis is an uncommon condition that historically has been associated with deep neck infections, such as Lemierre syndrome, during the preantibiotic era. Today, trauma to the internal jugular vein from catheterization and repeated IV injections by drug users are the leading causes of thrombosis.”
Successful Interventional Treatment of Acute Internal Jugular Vein Thrombosis
Tajima H et al.
AJR 2004;182:467-469 - “ Nonspontaneous internal jugular vein thrombosis is an uncommon condition that historically has been associated with deep neck infections, such as Lemierre syndrome, during the preantibiotic era. Today, trauma to the internal jugular vein from catheterization and repeated IV injections by drug users are the leading causes of thrombosis.”
Successful Interventional Treatment of Acute Internal Jugular Vein Thrombosis
Tajima H et al.
AJR 2004;182:467-469 - “ Deep venous thrombosis (DVT) involving the upper extremities, chest, and neck has become appreciated as a significant cause of morbidity, especially in individuals with central venous access devices (CVAD). Like DVT involving the leg and pelvic veins, axillo-subclavian vein thrombosis can result in pulmonary embolism, post-thrombotic syndrome, and venous limb gangrene.”
Isolated internal jugular vein thrombosis: risk factors and natural history.
Sheikh MA et al.
Vasc Med. 2002 Aug;7(3):177-9. - “Lemierre syndrome is a rare clinical entity, with fewer than 160 cases reported since it was first described in the early 1900s . This syndrome consists of internal jugular vein thrombosis after a primary oropharyngeal infection with the development of distant septic emboli . The lungs are most often affected; however, almost any organ may be involved.”
Lemierre Syndrome: An All-But-Forgotten Disease
William T. O'Brien, et al.
AJR 2006;187: W324-W324. - “Classically, Lemierre syndrome occurs in otherwise healthy adolescents and young adults. Appropriate diagnosis is often delayed because of the initial indolent course of the infection and the relative obscurity of the disease. The diagnosis is made with positive blood cultures, usually F. necrophorum, and appropriate imaging findings. Often, imaging findings precede blood culture results; therefore, radiologists play a crucial role in the early recognition of this syndrome. Prompt diagnosis and treatment are necessary to prevent sepsis and subsequent death.”
Lemierre Syndrome: An All-But-Forgotten Disease
William T. O'Brien, et al.
AJR 2006;187: W324-W324.