Restoring Cerebral Venous Outflow: Right Internal Jugular to Subclavian Vein Bypass After Ligation in Thoracic Outlet Syndrome

Intracranial venous hypertension (IVH) is an underrecognised cause of persistent craniofacial symptoms, often presenting with nonspecific features such as pressure-type headaches, pulsatile tinnitus, and visual disturbances. This case illustrates a complex diagnostic dilemma in which symptoms classically attributed to Eagle Syndrome masked another vascular cause of intracranial venous hypertension....

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No actionable change for audiologists — this vascular neurosurgery case report has no direct bearing on audiology clinical practice, though it is tangentially relevant to clinicians managing pulsatile tinnitus or intracranial hypertension differentials.

Illustrates a rare but treatable vascular cause of intracranial venous hypertension that can mimic or co-occur with auditory symptoms such as pulsatile tinnitus, underscoring the importance of interdisciplinary referral pathways.

1. 01Single case report of jugular-to-subclavian vein bypass after ligation in thoracic outlet syndrome.
2. 02Goal was to restore cerebral venous drainage and reduce intracranial venous hypertension.
3. 03Craniofacial symptoms (potentially including pulsatile tinnitus) were relieved post-surgery.
4. 04Thoracic outlet syndrome is a rare but recognised cause of venous outflow obstruction.
5. 05Findings are not generalisable beyond this one case.

PMID

42765581

DOI

10.1177/15385744261491474.

Journal

Otolaryngology–Head and Neck Surgery

Publication type

case_report

Evidence level

4

Sample size

1

Population

Single patient with thoracic outlet syndrome post jugular vein ligation with intracranial venous hypertension

Intervention

Right internal jugular-to-subclavian vein bypass surgery