Key result
Ligation and excision of the dilated right internal jugular vein almost immediately cured intractable paroxysmal cough in a 15-year-old girl.
Case Report (n=1)
Internal jugular vein ectasia can rarely present as intractable paroxysmal cough due to vagus nerve compression, which is curable by surgical ligation and excision.
May warrant surgical consideration in rare jugular ectasia cough; leaves open generalizability beyond this isolated case.
Internal jugular vein ectasia (dilatation of the internal jugular vein) is a rare clinical entity, often undiagnosed. Usually it presents as an asymptomatic, soft, compressible neck swelling that increases in size on Valsalva's manoeuvre. Our report describes right internal jugular vein ectasia in a 15-year-old girl who presented to us with intractable paroxysmal cough. The entity was suspected on ultrasound imaging and confirmed by computed tomography scan and Doppler. Ligation and excision of the dilated vein almost immediately cured her cough. The probable reason for the cough was the pressure exerted by the dilated vein on the vagus nerve.
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Padmanabhan et al. (2006) conducted a case report in Internal jugular vein ectasia (n=1). Ligation and excision of the dilated vein was evaluated on Cure of cough. Ligation and excision of the dilated right internal jugular vein almost immediately cured intractable paroxysmal cough in a 15-year-old girl.
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