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Q. Can internal jugular vein compression cause headaches, migraines, dizziness, and brain fog?

Answered by
Dr. Vivek Chail
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Nov 07, 2021

Hello doctor,

I have constant dizziness, pulsation, brain fog, pressure in my head, left ear fullness, headaches, and migraine. I did an MRI, and the reports say that I have internal jugular compression. Kindly review my report and advise on what I should do next.

Thanks.

#

Hi,

Welcome to icliniq.com.

I hope you are not in much discomfort.

Internal jugular vein compression might have different presentations. It can be focal, short segment, or long segment compression. The results of compression might vary with the cause and conditions in the patient.

The common symptoms in patients with internal jugular vein compression are headaches, head noise, tinnitus, high-frequency hearing impairment, neck discomfort, stiffness, diplopia, blurred vision, visual field defect, insomnia, and even transient amnesia. Suppose there is a compression of the internal jugular vein because of the surgical complication, central venous catheterization, head and neck infection, or a local malignancy. In that case, the treatment is directed to solving the primary condition and might involve giving antibiotics, anticoagulants, and treating the malignancy.

If the compression is due to intrinsic factors like vascular tortuosity, then medicines do treatment to increase blood flow, and stenting is done for focal stenosis.

It is essential to do a doppler scan of the neck vessels before suggesting any treatment.

Regards.

Hello doctor,

Thank you very much for your detailed reply.

I have uploaded my MRI report. I feel I have the symptoms of jugular compression. However, I have had a neck ultrasound to rule out the cause. I also felt discomfort in the left side of my neck and have looked into the possibility of an elongated styloid. Do you see anything in the dental x-ray provided?

Thanks.

#

Hi,

Welcome back to icliniq.com.

I have analyzed the x-ray and MRI (magnetic resonance imaging) images and would like to comment on the following (attachments removed to protect the patient’s identity).

1) There is a faint line on the right side of the x-ray, but it is not convincing to me. In such cases, I would request a CT (computed tomography) scan with 3D (three dimensions) to see the styloid processes before confirming a diagnosis of eagles syndrome.

2) There is a focal compression of the left internal jugular vein. This needs to be assessed with a post-contrast venous scan of the neck and a doppler to show any consequences of the compression.

3) There is a mild posterior disc bulge in the cervical spine at C5 and C6 disc levels, causing mild to moderate left neural foraminal compromise. The left side neck discomfort might be due to this finding.

Regards.


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