JEDI (jugular entrapment, dilated ventricles, intracranial hypertension) syndrome: a new clinical entity? A case report

@article{DeBonis2019JEDIE,
  title={JEDI (jugular entrapment, dilated ventricles, intracranial hypertension) syndrome: a new clinical entity? A case report},
  author={Pasquale De Bonis and Erica Menegatti and Michele Alessandro Cavallo and F. Sisini and Giorgio Trapella and Alba Scerrati and Paolo Zamboni},
  journal={Acta Neurochirurgica},
  year={2019},
  pages={1-4}
}
Patients with idiopathic intracranial hypertension are frequently obese women with normal/slit ventricles. Patients with high-pressure hydrocephalus, instead, present enlarged ventricles. We describe a 63-year-old woman with signs and symptoms of intracranial hypertension. Brain MRI revealed hydrocephalus. Venous Doppler ultrasound showed external compression of the omohyoid muscles on the internal jugular veins. During jugular vein decompression, intracranial pressure dropped from 18 to 6 mmHg… 

The eagle jugular syndrome

TLDR
There may be a possible association of jugular impingement by an elongated styloid process with symptoms, and CT angiography with venous phase extended to the neck veins and imaging reconstruction is highly recommended as imaging technique, complemented by color-Doppler ultrasound.

Three patterns of chronic cerebrospinal venous insufficiency in Ménière syndrome patients: Diagnosis and treatment options

TLDR
According to the pattern, after specific treatment, echo-color-Doppler control analysis revealed a normalized venous outflow correlated to Ménière symptoms reduction and/or progressive disappearance during one year follow up.

A New Insight in Nonaneurysmal Subarachnoid Hemorrhage: the Potential Role of the Internal Jugular Veins.

TLDR
The impaired venous outflow due to reduced venous caliber could result in an engorgement of the upstream intracranial veins with transient hypertensive phases facilitating ruptures, in the first study investigating the correlation between jugular stenosis and the occurrence of na-SAH.

Peripapillary microperimetry for the diagnosis and follow-up of papilledema in cases treated for idiopathic intracranial hypertension

TLDR
Microperimetry can accurately and quantitatively monitor changes in peripapillary retinal sensitivity in patients undergoing treatment for papilledema due to idiopathic intracranial hypertension (IIH).

Internal Jugular Vein Thrombosis: Etiology, Symptomatology, Diagnosis and Current Treatment

TLDR
IJVthr is often an underestimated clinical problem despite being one of the major sources of pulmonary embolism as well as a potential cause of stroke in the case of the upward propagation of the thrombus.

Effects of Venous Angioplasty on Cerebral Lesions in Multiple Sclerosis: Expanded Analysis of the Brave Dreams Double-Blind, Sham-Controlled Randomized Trial

  • P. ZamboniR. Galeotti P. Veroux
  • Medicine, Psychology
    Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists
  • 2019
TLDR
Expanded analysis of the Brave Dreams data that included secondary/progressive MS patients in addition to the relapsing/remitting patients analyzed previously showed that venoplasty decreases new cerebral lesions at 1 year.

Neurofluids: A holistic approach to their physiology, interactive dynamics and clinical implications for neurological diseases

TLDR
A review of all major extracellular fluid compartments within the brain, advocates a holistic approach to the understanding of the fluid dynamics, rather than focusing on a single compartment when analyzing neurological diseases.

Numerical modeling of blood flow in the internal jugular vein with the use of computational fluid mechanics software

TLDR
In the jugular model, cranially-located stenoses, which in clinical practice are primarily caused by external compression, cause more significant outflow impact respect to endoluminal defects and pathological valves located more caudally.

What are the ideal characteris- tics of a venous stent?

TLDR
Out of the commonest causes of large veins obstruction, dedicated venous stent could also treat other diseases described more recently, such as the jugular variant of the Eagle syndrome, JEDI syndrome and jugular lesions of the chronic cerebrospinal venous insufficiency that result unfavorable for angioplasty according to Giaquinta classification.

References

SHOWING 1-10 OF 10 REFERENCES

Intraventricular hemorrhage and hydrocephalus after spontaneous intracerebral hemorrhage: results from the STICH trial.

TLDR
The presence of IVH and hydrocephalus are independent predictors of poor outcome in spontaneous ICH and early surgery is of some benefit in those with IVH.

Fixing the jugular flow reduces ventricle volume and improves brain perfusion.

Brain energy metabolism and intracranial pressure in idiopathic adult hydrocephalus syndrome

TLDR
Raising intracranial pressure induces an immediate and reversible change in energy metabolism in periventricular white matter, without any sign of ischaemia.

The diagnosis and management of idiopathic intracranial hypertension and the associated headache

TLDR
A summary of diagnosis, symptoms, headache characteristics and course, as well as existing evidence of treatment strategies is presented and strategies for investigations and management are proposed.

Idiopathic intracranial hypertension: consensus guidelines on management

The aim was to capture interdisciplinary expertise from a large group of clinicians, reflecting practice from across the UK and further, to inform subsequent development of a national consensus

An ultrasound model to calculate the brain blood outflow through collateral vessels: a pilot study

TLDR
A novel model to calculate the cerebral venous return, normalized to the arterial inflow, in the different segments of the IJV suggests the pivotal role of the collateral network in draining the blood into the superior vena cava under CCSVI condition.

The pilot study.

TLDR
A randomized controlled experiment is designed to test whether access to affordable day care (in the form of subsidies, for example) would incentivize Saudi mothers to search actively for employment and to remain employed once they are hired.