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The characteristics of internal jugular vein sonographic imaging in patients with cerebral venous sinus thrombosis
JIA Lingyun 1 #,HUA Yang 1 *,JI Xunming 2,Liu Jiangtao 3
1.Department of Vascular Ultrasonography, Xuanwu Hospital, Capital Medical University, Beijing, 100053
2.Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, 100053
3.Department of Radiology, Xuanwu Hospital, Capital Medical University, Beijing, 100053
*Correspondence author
#Submitted by
Subject:
Funding: Research Fund for the Doctoral Program of Higher Education of China (No.No.0111107120001), National Natural Science Foundation of China(No.No.81200912)
Opened online:22 July 2014
Accepted by: none
Citation: JIA Lingyun,HUA Yang,JI Xunming.The characteristics of internal jugular vein sonographic imaging in patients with cerebral venous sinus thrombosis[OL]. [22 July 2014] http://en.paper.edu.cn/en_releasepaper/content/4604202
 
 
Background Cerebral venous sinus thrombosis (CVST) is a special form of stroke with multiple causes and risk factors. However, there are still a portion of cases with unknown reasons. The aim of this study was to investigate the relationship between internal jugular vein (IJV) abnormalities and the development of cerebral venous sinus thrombosis (CVST). Methods A total of 51 CVST patients and 30 healthy controls were enrolled. The diameter, the maximum velocity (Vmax) and the reflux time in bilateral IJVs were measured by color Doppler flow imaging (CDFI). Results Among the 51 CVST patients, 20 (39.2%) patients were with normal IJV and 31 (60.8%) patients were with abnormal IJV. The types of IJV abnormality included annulus stenosis 19 cases (61.3%), hypoplasia 9 cases (29.0%), thrombosis 2 cases (6.5%) and anomalous valve 1 case (3.2%). In patients with unilateral IJV abnormality, the minimum diameter of the IJV on the lesion side was significantly smaller than that of the contralateral side (P<0.0001). When compared with contralateral side, the Vmax of the lesion side with unilateral annulus stenosis was significant higher, however, it was obvious lower in patients with unilateral hypoplasia (P<0.05). Furthermore, among 27 cases with unilateral IJV abnormality, all the CVST occurred on the same side on that the IJV was with lesion. Conclusions IJV abnormality closely correlated with the development of CVST, which is a newly identified risk factor for CVST.
Keywords:radiology and nuclear medicine; cerebral venous sinus thrombosis; risk factor; internal jugular veins; hemodynamics; color Doppler flow imaging
 
 
 

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