Hyperhomocysteinemia and left internal jugular vein thrombosis with Ménière's symptom complex.
The author describes the case of a 68-year-old woman who experienced severe symptoms of Ménière's syndrome. Ultrasonography of the neck detected a clot in the left internal jugular vein. The patient was hospitalized and anticoagulated, and her symptoms soon resolved. The author speculates that the clot-induced hemodynamic changes led to venous insufficiency in the vein of the paravestibular canaliculus and ultimately caused the patient's symptoms. The blood work-up revealed that the patient had an elevated fasting homocysteine level, which is a known risk factor for thrombus formation.
Scaramella
John G
JG
D000368:Aged; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D016893:Carotid Stenosis / Q000473:pathology; D005260:Female; D006801:Humans; D020138:Hyperhomocysteinemia / Q000150:complications*; D007601:Jugular Veins / Q000000981:diagnostic imaging*; D008279:Magnetic Resonance Imaging; D008575:Meniere Disease / Q000150:complications*; D008775:Methylprednisolone / Q000627:therapeutic use; D014012:Tinnitus / Q000150:complications / Q000188:drug therapy; D018608:Ultrasonography, Doppler; D020246:Venous Thrombosis / Q000150:complications* / Q000000981:diagnostic imaging*; D014717:Vertigo / Q000150:complications / Q000188:drug therapy
D000893:Anti-Inflammatory Agents; D008775:Methylprednisolone