Compression of the upper segment (J3) of the internal jugular vein (IJV) between the C1 transverse process (C1TP) and styloid process (SP) is an increasingly recognized condition. No previous case of J3-IJV compression by the internal carotid artery (ICA) has been reported. The authors present the case of a patient with J3-IJV compression treated with arterial transposition....
✦ The floor
Discussion
Signed responses from readers of the wire.
No actionable change for audiologists; this is a neurosurgical case report with indirect relevance to pulsatile tinnitus or jugular vein pathology workup but no clinical guidance change for audiology practice.
Jugular vein compression syndromes can present with audiological symptoms such as pulsatile tinnitus, and awareness of surgical solutions may inform interdisciplinary referral pathways.
- 01Case describes anterior transposition of the internal carotid artery to decompress the internal jugular vein.
- 02Compression was caused by the C1 transverse process and styloid process — a rare anatomical cause of venous outflow obstruction.
- 03Procedure aims to relieve symptoms that may include pulsatile tinnitus or intracranial hypertension.
- 04Single illustrative case with no comparative outcomes data.
Internal carotid artery anterior transposition can effectively decompress the internal jugular vein compressed between the C1 transverse process and styloid process.
studypartially supported- PMID
- 42673622
- DOI
- 10.3171/CASE26599.
- Journal
- Journal of Neurosurgery: Case Lessons
- Publication type
- case_report
- Evidence level
- 4
- Sample size
- 1
- Population
- Single patient with internal jugular vein compression between C1 transverse process and styloid process
- Intervention
- Internal carotid artery anterior transposition
Primary outcomes
Internal jugular vein decompression; Symptom resolution post-transposition