| Ultrasonographic diagnosis and color flow Doppler sonography of internal jugular venous ectasia in children. | |
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MedLine Citation:
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PMID: 10361846 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We investigated the diagnostic utility of ultrasonography in the diagnosis of internal jugular venous ectasia. Eight children (six boys, two girls) were recruited into this prospective study. Sonography of internal jugular venous ectasia in these patients revealed fusiform dilation of the internal jugular vein, and the possibility of thrombus and external compression could be ruled out. Marked variation in size of ectatic jugular veins during respiration was demonstrated under real-time sonography. The mean anteroposterior diameter of these dilated internal jugular veins was 0.79+/-0.18 mm (mean+/-standard deviation), which increased to 1.58+/-0.27 mm with Valsalva maneuver. Our study showed that the anteroposterior diameters of the internal jugular veins in cases of ectasia were greater than those of contralateral jugular veins in same patients as well as those in normal children, and they showed greater increase after Valsalva maneuver. Under color Doppler flow studies, turbulent vascular flows were demonstrated in these patients with jugular venous ectasia. No progression of venous ectasia was found in any of our patients during a 6 month follow-up period. We conclude that internal jugular venous ectasia in children is a benign condition, which usually does not require surgical intervention. Ultrasonography is a good diagnostic modality for the diagnosis of internal jugular venous ectasia. Color Doppler ultrasonography demonstrate the turbulent flow in jugular venous ectasia. |
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Authors:
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H C Chao; K S Wong; S J Lin; M S Kong; T Y Lin |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine Volume: 18 ISSN: 0278-4297 ISO Abbreviation: J Ultrasound Med Publication Date: 1999 Jun |
Date Detail:
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Created Date: 1999-07-20 Completed Date: 1999-07-20 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8211547 Medline TA: J Ultrasound Med Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 411-6 Citation Subset: IM |
Affiliation:
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Department of Pediatrics, Chang Gung Children's Hospital, Taoyuan, Taiwan, Republic of China. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Blood Flow Velocity Child Child, Preschool Diagnosis, Differential Dilatation, Pathologic / physiopathology, ultrasonography Female Follow-Up Studies Humans Jugular Veins* / abnormalities, physiopathology, ultrasonography Male Prospective Studies Ultrasonography, Doppler, Color* Valsalva Maneuver Vascular Diseases / physiopathology*, ultrasonography* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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