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Incidence and distribution of extravascular compression of extracranial venous pathway in patients with chronic cerebrospinal venous insufficiency and multiple sclerosis.
[thoracic outlet syndrome]
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
.
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
.
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
.
Diseases
Validation
Diseases presenting
"and that it is mainly due to compression caused by transverse processus of cervical vertebrae"
symptom
thoracic outlet syndrome
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