Document Detail

Hyperhomocysteinemia and left internal jugular vein thrombosis with Ménière's symptom complex.
MedLine Citation:
PMID:  14661435     Owner:  NLM     Status:  MEDLINE    
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.
John G Scaramella
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Ear, nose, & throat journal     Volume:  82     ISSN:  0145-5613     ISO Abbreviation:  Ear Nose Throat J     Publication Date:  2003 Nov 
Date Detail:
Created Date:  2003-12-09     Completed Date:  2004-02-05     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7701817     Medline TA:  Ear Nose Throat J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  856, 859-60, 865     Citation Subset:  IM    
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MeSH Terms
Anti-Inflammatory Agents / therapeutic use
Carotid Stenosis / pathology
Hyperhomocysteinemia / complications*
Jugular Veins / ultrasonography*
Magnetic Resonance Imaging
Meniere Disease / complications*
Methylprednisolone / therapeutic use
Tinnitus / complications,  drug therapy
Ultrasonography, Doppler
Venous Thrombosis / complications*,  ultrasonography*
Vertigo / complications,  drug therapy
Reg. No./Substance:
0/Anti-Inflammatory Agents; 83-43-2/Methylprednisolone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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