Invasive surgical management of cervical internal jugular venous compression: A literature review

IF 1.9 4区医学 Q3 CLINICAL NEUROLOGY

Journal of Clinical Neuroscience Pub Date : 2025-05-09 DOI:10.1016/j.jocn.2025.111304

Gayani Petersingham , Nipun Shrestha , Michael Elliott , Rodney S. Allan , Geoffrey Parker , Louise Van Camp , Prashanth J. Rao

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引用次数: 0

Abstract

Background

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.

Methods

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.

Results

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.

Conclusion

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.

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颈内静脉压迫的有创手术治疗：文献回顾

颈内静脉（IJV）压迫与几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。颅静脉压迫通常用支架植入术治疗；然而，颈椎IJV压迫的处理没有标准化，并且关于结果的公开数据非常有限。本综述的目的是评估目前用于颈椎IJV压迫患者的手术干预措施及其结果。方法在电子数据库中检索研究颈椎IJV压迫手术干预的原创文章。所有的研究，无论患者群体或研究类型，都被纳入。结果：所有包括至少一例手术干预治疗宫颈IJV压迫的研究均被纳入考虑。选择标准必须清楚地识别颈椎区域内腔管的压迫。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。对5项研究的并发症进行了分析。结果测量各不相同，但所有的研究都记录了患者的临床症状。结论目前缺乏大型队列研究或临床试验，分析手术干预对颈内腔压迫患者的影响。最常见的手术干预是茎突切除术。通过了解耳鼻喉科和神经外科医生先前进行的干预的趋势和结果，可以进行更集中、更大规模的研究，以确定产生最佳临床结果的有效策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Neuroscience 医学-临床神经学

CiteScore

4.50

自引率

0.00%

发文量

402

审稿时长

40 days

期刊介绍： This International journal, Journal of Clinical Neuroscience, publishes articles on clinical neurosurgery and neurology and the related neurosciences such as neuro-pathology, neuro-radiology, neuro-ophthalmology and neuro-physiology. The journal has a broad International perspective, and emphasises the advances occurring in Asia, the Pacific Rim region, Europe and North America. The Journal acts as a focus for publication of major clinical and laboratory research, as well as publishing solicited manuscripts on specific subjects from experts, case reports and other information of interest to clinicians working in the clinical neurosciences.