Serious cerebral complications following unilateral ligation of the internal jugular vein. Review of the literature and a case report.
Serious intracranial sequelae of unilateral internal jugular vein ligation or resection are extremely rare. 22 cases including our own, were found in the literature, eight of them with a fatal outcome. Factors involved such as abnormalities of the cerebral venous sinus system, controlled hypotension, hypovolemia, posture, and dressings are discussed, as well as safeguards and possible preoperative diagnostic measures.
D000328:Adult; D002560:Cerebrovascular Circulation; D002561:Cerebrovascular Disorders / Q000209:etiology*; D005060:Europe; D013502:General Surgery / Q000266:history; D049672:History, 19th Century; D049673:History, 20th Century; D006801:Humans; D002542:Intracranial Embolism and Thrombosis / Q000209:etiology; D007601:Jugular Veins / Q000601:surgery*; D008026:Ligation / Q000009:adverse effects*; D008297:Male; D014062:Tongue Neoplasms / Q000601:surgery; D014481:United States