Venous outflow of the brain after bilateral complete jugular ligation.
Venous outflow of the brain after bilateral complete jugular ligation.
复制标题
双侧颈静脉完全结扎后脑静脉流出。
作者：
Serdar Ensarí;E. Kaptanoğlu;K. Tun;T. Gün;E. Beşkonakli;S. Çelikkanat;H. Dere;S. Cekirge
本文报告一例因喉部肿瘤而行双侧颈内、外、外及颈前静脉结扎及切除的病例。根治性颈淋巴清扫术是治疗双侧颈淋巴转移的头颈癌患者的标准耳鼻喉科手术。牺牲双侧颈内静脉和双侧颈外静脉被认为是一种危险的手术方式，会导致颅内高压，并导致神经后遗症和死亡。在这份报告中，我们的目标是演示颈静脉系统闭塞后静脉流出大脑的分流。双侧颈静脉结扎后，数字减影血管造影(DSA)显示脑静脉引流途径由颈静脉转至椎静脉丛。
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.