title: Venous outflow of the brain after bilateral complete jugular ligation.
abstract: A case of a patient with bilateral internal, external, posterior external and anterior jugular vein ligations and excisions performed in the neck due to a larynx tumor is presented. Radical neck dissection is a standard otorhinolaryngological procedure in the management of head and neck cancer patients with bilateral lymph node metastasis to the neck. Sacrifice of both internal and external jugular veins bilaterally has been recognized as a dangerous approach leading to intracranial hypertension with subsequent neurological sequela and death. In this report, we aimed to demonstrate how venous outflow from the brain diverts after jugular venous system obliteration. After bilateral jugular vein ligations, digital subtraction angiography (DSA) showed that the venous drainage route of the brain had been diverted from the jugular veins to the vertebral venous plexus.
authors.affiliation: Ankara Numune Education and Research Hospital, Department of Otorhinolaryngology, Ankara, Turkey.
authors.forename: Serdar
authors.initials: S
authors.lastname: Ensari
authors.forename: Erkan
authors.initials: E
authors.lastname: Kaptanoğlu
authors.forename: Kağan
authors.initials: K
authors.lastname: Tun
authors.forename: Taylan
authors.initials: T
authors.lastname: Gün
authors.forename: Etem
authors.initials: E
authors.lastname: Beşkonakli
authors.forename: Serdar
authors.initials: S
authors.lastname: Celikkanat
authors.forename: Hüseyin
authors.initials: H
authors.lastname: Dere
authors.forename: Saruhan
authors.initials: S
authors.lastname: Cekirge
mesh_terms: D015901:Angiography, Digital Subtraction; D001921:Brain / Q000098:blood supply; D001929:Brain Edema / Q000473:pathology / Q000503:physiopathology; D002533:Cerebral Angiography; D002550:Cerebral Veins / Q000502:physiology*; D003097:Collateral Circulation / Q000502:physiology*; D006801:Humans; D007601:Jugular Veins / Q000601:surgery*; D007822:Laryngeal Neoplasms / Q000601:surgery*; D008026:Ligation; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D037981:Neck Dissection / Q000379:methods*