Incidence and distribution of extravascular compression of extracranial venous pathway in patients with chronic cerebrospinal venous insufficiency and multiple sclerosis
Objective To examine the incidence and distribution of extravascular compression of the extracranial venous pathway (the jugular and/or azygous veins) in multiple sclerosis patients with chronic cerebrospinal venous insufficiency evaluated by mulitislice computer tomographic angiography. Methods and...
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| Veröffentlicht in: | Phlebology 2014-08, Vol.29 (7), p.476-479 |
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| creator | Djordje, Radak Nenad, Ilijevski Jovo, Kolar Dragan, Sagić Želimir, Antonić Slobodan, Tanasković Nikola, Aleksić Srdjan, Babić Petar, Otašević |
| description | Objective
To examine the incidence and distribution of extravascular compression of the extracranial venous pathway (the jugular and/or azygous veins) in multiple sclerosis patients with chronic cerebrospinal venous insufficiency evaluated by mulitislice computer tomographic angiography.
Methods and results
Study group consisted of 51 consecutive patients with multiple sclerosis in whom chronic cerebrospinal venous insufficiency was diagnosed by color Doppler sonography (CDS). Mulitislice computer tomographic angiography was performed in all patients, and it revealed significant extravascular compression (>70%) of extracranial venous pathway in 26 patients (51%), while in 25 patients (49%) no significant extravascular compression was seen. Extracranial compression due to transverse processus of cervical vertebrae was seen in 23 patients, carotid bulb compression was seen in two patients, and in one case, compression presented as a thoracic outlet syndrome.
Conclusion
Our data indicate that extravascular compression of the extracranial venous pathway is frequent in multiple sclerosis patients with chronic cerebrospinal venous insufficiency, and that it is mainly due to compression caused by transverse processus of cervical vertebrae. Further studies are needed to evaluate potential clinical implications of this phenomenon. |
| doi_str_mv | 10.1177/0268355513486638 |
| format | Article |
| fullrecord | <record><control><sourceid>sage_cross</sourceid><recordid>TN_cdi_crossref_primary_10_1177_0268355513486638</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_0268355513486638</sage_id><sourcerecordid>10.1177_0268355513486638</sourcerecordid><originalsourceid>FETCH-LOGICAL-c337t-155674d4826ca30209dc5b07238aa8d286ad2ac556d833a9928cd0daba1a88eb3</originalsourceid><addsrcrecordid>eNp1kMtOwzAQRS0EoqWwZ4X8AwE_mthdoopHpUpsYB1Nxg51lTqRnRT6SfwlCeUlJFa2dM8Zjy8h55xdcq7UFROZlmmacjnVWSb1ARlzleqEc5EekvEQJ0M-IicxrhljQil1TEZCqoz3xpi8LTw6Yz1aCt5Q42IbXNG1rva0Lql9bQNsIWJXQaBYb5pgY_wdYgDvoKJb6-su0gba1QvsqPPD1VnfRvri2hXFVai9Q4o22CLUsXH-x3I-dmXpsOdx97HIpqta11SWRqxsj7t4So5KqKI9-zwn5On25nF-nywf7hbz62WCUqo24WmaqamZapEhSCbYzGBaMCWkBtBG6AyMAOwpo6WE2UxoNMxAARy0toWcELafi_2zMdgyb4LbQNjlnOVD6_nf1nvlYq80XbGx5lv4qrkHkj0Q4dnm67oL_efj_wPfAZ34kD0</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Incidence and distribution of extravascular compression of extracranial venous pathway in patients with chronic cerebrospinal venous insufficiency and multiple sclerosis</title><source>MEDLINE</source><source>SAGE Complete A-Z List</source><creator>Djordje, Radak ; Nenad, Ilijevski ; Jovo, Kolar ; Dragan, Sagić ; Želimir, Antonić ; Slobodan, Tanasković ; Nikola, Aleksić ; Srdjan, Babić ; Petar, Otašević</creator><creatorcontrib>Djordje, Radak ; Nenad, Ilijevski ; Jovo, Kolar ; Dragan, Sagić ; Želimir, Antonić ; Slobodan, Tanasković ; Nikola, Aleksić ; Srdjan, Babić ; Petar, Otašević</creatorcontrib><description>Objective
To examine the incidence and distribution of extravascular compression of the extracranial venous pathway (the jugular and/or azygous veins) in multiple sclerosis patients with chronic cerebrospinal venous insufficiency evaluated by mulitislice computer tomographic angiography.
Methods and results
Study group consisted of 51 consecutive patients with multiple sclerosis in whom chronic cerebrospinal venous insufficiency was diagnosed by color Doppler sonography (CDS). Mulitislice computer tomographic angiography was performed in all patients, and it revealed significant extravascular compression (>70%) of extracranial venous pathway in 26 patients (51%), while in 25 patients (49%) no significant extravascular compression was seen. Extracranial compression due to transverse processus of cervical vertebrae was seen in 23 patients, carotid bulb compression was seen in two patients, and in one case, compression presented as a thoracic outlet syndrome.
Conclusion
Our data indicate that extravascular compression of the extracranial venous pathway is frequent in multiple sclerosis patients with chronic cerebrospinal venous insufficiency, and that it is mainly due to compression caused by transverse processus of cervical vertebrae. Further studies are needed to evaluate potential clinical implications of this phenomenon.</description><identifier>ISSN: 0268-3555</identifier><identifier>EISSN: 1758-1125</identifier><identifier>DOI: 10.1177/0268355513486638</identifier><identifier>PMID: 23761866</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adult ; Azygos Vein - diagnostic imaging ; Azygos Vein - physiopathology ; Cerebrovascular Disorders - diagnosis ; Cerebrovascular Disorders - epidemiology ; Cerebrovascular Disorders - physiopathology ; Chronic Disease ; Constriction, Pathologic ; Echocardiography, Doppler, Color ; Female ; Hemodynamics ; Humans ; Incidence ; Jugular Veins - diagnostic imaging ; Jugular Veins - physiopathology ; Male ; Middle Aged ; Multidetector Computed Tomography ; Multiple Sclerosis - diagnosis ; Multiple Sclerosis - epidemiology ; Multiple Sclerosis - physiopathology ; Peripheral Vascular Diseases - diagnosis ; Peripheral Vascular Diseases - epidemiology ; Peripheral Vascular Diseases - physiopathology ; Phlebography - methods ; Predictive Value of Tests ; Risk Factors ; Serbia - epidemiology ; Spinal Cord - blood supply ; Ultrasonography, Doppler, Transcranial ; Venous Insufficiency - diagnosis ; Venous Insufficiency - epidemiology ; Venous Insufficiency - physiopathology</subject><ispartof>Phlebology, 2014-08, Vol.29 (7), p.476-479</ispartof><rights>The Author(s) 2013 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav</rights><rights>The Author(s) 2013 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c337t-155674d4826ca30209dc5b07238aa8d286ad2ac556d833a9928cd0daba1a88eb3</citedby><cites>FETCH-LOGICAL-c337t-155674d4826ca30209dc5b07238aa8d286ad2ac556d833a9928cd0daba1a88eb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0268355513486638$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0268355513486638$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23761866$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Djordje, Radak</creatorcontrib><creatorcontrib>Nenad, Ilijevski</creatorcontrib><creatorcontrib>Jovo, Kolar</creatorcontrib><creatorcontrib>Dragan, Sagić</creatorcontrib><creatorcontrib>Želimir, Antonić</creatorcontrib><creatorcontrib>Slobodan, Tanasković</creatorcontrib><creatorcontrib>Nikola, Aleksić</creatorcontrib><creatorcontrib>Srdjan, Babić</creatorcontrib><creatorcontrib>Petar, Otašević</creatorcontrib><title>Incidence and distribution of extravascular compression of extracranial venous pathway in patients with chronic cerebrospinal venous insufficiency and multiple sclerosis</title><title>Phlebology</title><addtitle>Phlebology</addtitle><description>Objective
To examine the incidence and distribution of extravascular compression of the extracranial venous pathway (the jugular and/or azygous veins) in multiple sclerosis patients with chronic cerebrospinal venous insufficiency evaluated by mulitislice computer tomographic angiography.
Methods and results
Study group consisted of 51 consecutive patients with multiple sclerosis in whom chronic cerebrospinal venous insufficiency was diagnosed by color Doppler sonography (CDS). Mulitislice computer tomographic angiography was performed in all patients, and it revealed significant extravascular compression (>70%) of extracranial venous pathway in 26 patients (51%), while in 25 patients (49%) no significant extravascular compression was seen. Extracranial compression due to transverse processus of cervical vertebrae was seen in 23 patients, carotid bulb compression was seen in two patients, and in one case, compression presented as a thoracic outlet syndrome.
Conclusion
Our data indicate that extravascular compression of the extracranial venous pathway is frequent in multiple sclerosis patients with chronic cerebrospinal venous insufficiency, and that it is mainly due to compression caused by transverse processus of cervical vertebrae. Further studies are needed to evaluate potential clinical implications of this phenomenon.</description><subject>Adult</subject><subject>Azygos Vein - diagnostic imaging</subject><subject>Azygos Vein - physiopathology</subject><subject>Cerebrovascular Disorders - diagnosis</subject><subject>Cerebrovascular Disorders - epidemiology</subject><subject>Cerebrovascular Disorders - physiopathology</subject><subject>Chronic Disease</subject><subject>Constriction, Pathologic</subject><subject>Echocardiography, Doppler, Color</subject><subject>Female</subject><subject>Hemodynamics</subject><subject>Humans</subject><subject>Incidence</subject><subject>Jugular Veins - diagnostic imaging</subject><subject>Jugular Veins - physiopathology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multidetector Computed Tomography</subject><subject>Multiple Sclerosis - diagnosis</subject><subject>Multiple Sclerosis - epidemiology</subject><subject>Multiple Sclerosis - physiopathology</subject><subject>Peripheral Vascular Diseases - diagnosis</subject><subject>Peripheral Vascular Diseases - epidemiology</subject><subject>Peripheral Vascular Diseases - physiopathology</subject><subject>Phlebography - methods</subject><subject>Predictive Value of Tests</subject><subject>Risk Factors</subject><subject>Serbia - epidemiology</subject><subject>Spinal Cord - blood supply</subject><subject>Ultrasonography, Doppler, Transcranial</subject><subject>Venous Insufficiency - diagnosis</subject><subject>Venous Insufficiency - epidemiology</subject><subject>Venous Insufficiency - physiopathology</subject><issn>0268-3555</issn><issn>1758-1125</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kMtOwzAQRS0EoqWwZ4X8AwE_mthdoopHpUpsYB1Nxg51lTqRnRT6SfwlCeUlJFa2dM8Zjy8h55xdcq7UFROZlmmacjnVWSb1ARlzleqEc5EekvEQJ0M-IicxrhljQil1TEZCqoz3xpi8LTw6Yz1aCt5Q42IbXNG1rva0Lql9bQNsIWJXQaBYb5pgY_wdYgDvoKJb6-su0gba1QvsqPPD1VnfRvri2hXFVai9Q4o22CLUsXH-x3I-dmXpsOdx97HIpqta11SWRqxsj7t4So5KqKI9-zwn5On25nF-nywf7hbz62WCUqo24WmaqamZapEhSCbYzGBaMCWkBtBG6AyMAOwpo6WE2UxoNMxAARy0toWcELafi_2zMdgyb4LbQNjlnOVD6_nf1nvlYq80XbGx5lv4qrkHkj0Q4dnm67oL_efj_wPfAZ34kD0</recordid><startdate>20140801</startdate><enddate>20140801</enddate><creator>Djordje, Radak</creator><creator>Nenad, Ilijevski</creator><creator>Jovo, Kolar</creator><creator>Dragan, Sagić</creator><creator>Želimir, Antonić</creator><creator>Slobodan, Tanasković</creator><creator>Nikola, Aleksić</creator><creator>Srdjan, Babić</creator><creator>Petar, Otašević</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>20140801</creationdate><title>Incidence and distribution of extravascular compression of extracranial venous pathway in patients with chronic cerebrospinal venous insufficiency and multiple sclerosis</title><author>Djordje, Radak ; Nenad, Ilijevski ; Jovo, Kolar ; Dragan, Sagić ; Želimir, Antonić ; Slobodan, Tanasković ; Nikola, Aleksić ; Srdjan, Babić ; Petar, Otašević</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c337t-155674d4826ca30209dc5b07238aa8d286ad2ac556d833a9928cd0daba1a88eb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Azygos Vein - diagnostic imaging</topic><topic>Azygos Vein - physiopathology</topic><topic>Cerebrovascular Disorders - diagnosis</topic><topic>Cerebrovascular Disorders - epidemiology</topic><topic>Cerebrovascular Disorders - physiopathology</topic><topic>Chronic Disease</topic><topic>Constriction, Pathologic</topic><topic>Echocardiography, Doppler, Color</topic><topic>Female</topic><topic>Hemodynamics</topic><topic>Humans</topic><topic>Incidence</topic><topic>Jugular Veins - diagnostic imaging</topic><topic>Jugular Veins - physiopathology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multidetector Computed Tomography</topic><topic>Multiple Sclerosis - diagnosis</topic><topic>Multiple Sclerosis - epidemiology</topic><topic>Multiple Sclerosis - physiopathology</topic><topic>Peripheral Vascular Diseases - diagnosis</topic><topic>Peripheral Vascular Diseases - epidemiology</topic><topic>Peripheral Vascular Diseases - physiopathology</topic><topic>Phlebography - methods</topic><topic>Predictive Value of Tests</topic><topic>Risk Factors</topic><topic>Serbia - epidemiology</topic><topic>Spinal Cord - blood supply</topic><topic>Ultrasonography, Doppler, Transcranial</topic><topic>Venous Insufficiency - diagnosis</topic><topic>Venous Insufficiency - epidemiology</topic><topic>Venous Insufficiency - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Djordje, Radak</creatorcontrib><creatorcontrib>Nenad, Ilijevski</creatorcontrib><creatorcontrib>Jovo, Kolar</creatorcontrib><creatorcontrib>Dragan, Sagić</creatorcontrib><creatorcontrib>Želimir, Antonić</creatorcontrib><creatorcontrib>Slobodan, Tanasković</creatorcontrib><creatorcontrib>Nikola, Aleksić</creatorcontrib><creatorcontrib>Srdjan, Babić</creatorcontrib><creatorcontrib>Petar, Otašević</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Phlebology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Djordje, Radak</au><au>Nenad, Ilijevski</au><au>Jovo, Kolar</au><au>Dragan, Sagić</au><au>Želimir, Antonić</au><au>Slobodan, Tanasković</au><au>Nikola, Aleksić</au><au>Srdjan, Babić</au><au>Petar, Otašević</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Incidence and distribution of extravascular compression of extracranial venous pathway in patients with chronic cerebrospinal venous insufficiency and multiple sclerosis</atitle><jtitle>Phlebology</jtitle><addtitle>Phlebology</addtitle><date>2014-08-01</date><risdate>2014</risdate><volume>29</volume><issue>7</issue><spage>476</spage><epage>479</epage><pages>476-479</pages><issn>0268-3555</issn><eissn>1758-1125</eissn><abstract>Objective
To examine the incidence and distribution of extravascular compression of the extracranial venous pathway (the jugular and/or azygous veins) in multiple sclerosis patients with chronic cerebrospinal venous insufficiency evaluated by mulitislice computer tomographic angiography.
Methods and results
Study group consisted of 51 consecutive patients with multiple sclerosis in whom chronic cerebrospinal venous insufficiency was diagnosed by color Doppler sonography (CDS). Mulitislice computer tomographic angiography was performed in all patients, and it revealed significant extravascular compression (>70%) of extracranial venous pathway in 26 patients (51%), while in 25 patients (49%) no significant extravascular compression was seen. Extracranial compression due to transverse processus of cervical vertebrae was seen in 23 patients, carotid bulb compression was seen in two patients, and in one case, compression presented as a thoracic outlet syndrome.
Conclusion
Our data indicate that extravascular compression of the extracranial venous pathway is frequent in multiple sclerosis patients with chronic cerebrospinal venous insufficiency, and that it is mainly due to compression caused by transverse processus of cervical vertebrae. Further studies are needed to evaluate potential clinical implications of this phenomenon.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>23761866</pmid><doi>10.1177/0268355513486638</doi><tpages>4</tpages></addata></record> |
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| ispartof | Phlebology, 2014-08, Vol.29 (7), p.476-479 |
| issn | 0268-3555 1758-1125 |
| language | eng |
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| source | MEDLINE; SAGE Complete A-Z List |
| subjects | Adult Azygos Vein - diagnostic imaging Azygos Vein - physiopathology Cerebrovascular Disorders - diagnosis Cerebrovascular Disorders - epidemiology Cerebrovascular Disorders - physiopathology Chronic Disease Constriction, Pathologic Echocardiography, Doppler, Color Female Hemodynamics Humans Incidence Jugular Veins - diagnostic imaging Jugular Veins - physiopathology Male Middle Aged Multidetector Computed Tomography Multiple Sclerosis - diagnosis Multiple Sclerosis - epidemiology Multiple Sclerosis - physiopathology Peripheral Vascular Diseases - diagnosis Peripheral Vascular Diseases - epidemiology Peripheral Vascular Diseases - physiopathology Phlebography - methods Predictive Value of Tests Risk Factors Serbia - epidemiology Spinal Cord - blood supply Ultrasonography, Doppler, Transcranial Venous Insufficiency - diagnosis Venous Insufficiency - epidemiology Venous Insufficiency - physiopathology |
| title | Incidence and distribution of extravascular compression of extracranial venous pathway in patients with chronic cerebrospinal venous insufficiency and multiple sclerosis |
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