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Internal jugular vein ectasia – a rare cause for paroxysmal cough

Published online by Cambridge University Press:  14 December 2006

K Padmanabhan ,
B Vaishali  and
R Indudharan
K Padmanabhan
Affiliation:
Department of ENT, Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, India.
B Vaishali
Affiliation:
Department of ENT, Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, India.
R Indudharan*
Affiliation:
Department of ENT, Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, India.
*
Address for correspondence: Dr R Indudharan, Professor, Department of ENT, Amrita Institute of Medical Sciences, Kochi, Kerala, 682026India. Fax: 95 484 2802020 E-mail: drindudharan@aims.amrita.edu
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Abstract

Internal jugular vein ectasia (dilatation of the internal jugular vein) is a rare clinical entity, often undiagnosed. Usually it presents as an asymptomatic, soft, compressible neck swelling that increases in size on Valsalva's manoeuvre. Our report describes right internal jugular vein ectasia in a 15-year-old girl who presented to us with intractable paroxysmal cough. The entity was suspected on ultrasound imaging and confirmed by computed tomography scan and Doppler. Ligation and excision of the dilated vein almost immediately cured her cough. The probable reason for the cough was the pressure exerted by the dilated vein on the vagus nerve.

Keywords

Jugular VeinsPathologic DilatationDoppler Ultrasound
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 121 , Issue 8 , August 2007 , pp. 742 - 744
Copyright
Copyright © JLO (1984) Limited 2006

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