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Internal jugular vein stenosis is common in patients presenting with neurogenic thoracic outlet syndrome.
[thoracic outlet syndrome]
Previous
magnetic
resonance
imaging
studies
have
shown
abnormalities
of
the
internal
jugular
veins
in
patients
with
thoracic
outlet
syndrome
(
TOS
)
,
but
this
finding
has
largely
been
ignored
.
We
,
thus
,
prospectively
performed
diagnostic
brachiocephalic
venograms
in
all
patients
with
diagnosed
neurogenic
TOS
from
April
2008
to
December
2011
(
mean
age
,
42
.
6
;
r
,
16
-
68
;
77
.
8
%
women
and
22
.
2
%
men
)
.
Stenosis
of
the
left
internal
jugular
vein
,
left
subclavian
vein
,
right
internal
jugular
vein
,
and
right
subclavian
vein
were
assessed
,
and
significant
stenoses
of
these
vessels
were
seen
in
63
.
49
%
,
65
.
08
%
,
60
.
32
%
,
and
68
.
25
%
of
patients
,
respectively
.
Internal
jugular
vein
stenosis
was
not
present
in
23
.
81
%
,
present
unilaterally
in
28
.
57
%
,
and
present
bilaterally
in
47
.
62
%
of
patients
.
Subclavian
vein
stenosis
was
not
present
in
17
.
46
%
,
present
unilaterally
in
28
.
57
%
,
and
present
bilaterally
in
53
.
97
%
of
patients
.
Phi
coefficients
of
correlation
were
0
.
067
between
left
internal
jugular
vein
and
left
subclavian
vein
stenoses
,
0
.
061
between
right
internal
jugular
vein
and
right
subclavian
vein
stenoses
,
and
0
between
any
internal
jugular
vein
and
any
subclavian
vein
stenoses
,
indicating
there
is
no
correlation
between
jugular
vein
stenosis
and
subclavian
vein
stenosis
in
these
patients
.
We
conclude
that
right
and
left
internal
jugular
vein
stenosis
is
common
in
patients
with
neurogenic
TOS
symptoms
.
Treatment
of
internal
jugular
vein
stenosis
could
potentially
benefit
these
patients
,
and
the
implications
of
these
findings
warrant
further
study
.
Diseases
Validation
Diseases presenting
"subclavian vein stenosis in these patients"
symptom
thoracic outlet syndrome
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