engleski

Jugular phlebectasia in adult—an overlooked cause of cervical pain : Case presentation

We present a case of a 50-year-old woman with history of neck pain during the 12-month period. It was unilateral pain, with heaviness and unusual discomfort deep in the affected left side of the neck. General and neurological examination was normal. Initially, by using the magnetic resonance imaging (MRI)of the cervical spine, we found no identifiable mass. Repeated MRI scan demonstrated massive dilation of the left internal jugular vein, with a well-defined mass isointense to hypointense on T1 weighted and hyperintense on T2 weighted images. Considering the abovementioned clinical examination and performed radiological MRI evaluation results, the diagnosis of left internal jugular phlebectasia without complications (thrombosis or Horner’s syndrome) was made. We recommended conservative treatment with analgesics for pain and control MRI for 6 months if there is no worsening of symptoms.

Internal jugular vein, phlebectasia, cervical pain

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