Spontaneous internal jugular vein thrombosis manifesting as cough-induced headache： A case report
10.19845/j.cnki.zfysjjbzz.2025.0158
- VernacularTitle:以咳嗽性头痛为表现的自发性颈内静脉血栓形成1例报告
- Author:
Ning XIAO
1
;
Shan WU
1
Author Information
1. Department of Neurology， The Affiliated Hospital of Guizhou Medical University， Guiyang 550004， China
- Publication Type:Journal Article
- Keywords:
Spontaneous internal jugular vein thrombosis;
Intracranial hypertension;
Headache;
Cough
- MeSH:
Headache;
Cough
- From:
Journal of Apoplexy and Nervous Diseases
2025;42(9):852-854
- CountryChina
- Language:Chinese
-
Abstract:
This article reports the medical records of a patient with spontaneous internal jugular vein thrombosis manifesting as cough-induced headache who were diagnosed by digital subtraction angiography （DSA） in The Affiliated Hospital of Guizhou Medical University. The patient was a male individual aged 33 years and had the main clinical manifestation of bilateral frontal pain after severe coughing， with no headache during the interictal period. DSA showed occlusion of the left internal jugular vein， which suggested thrombosis； cranial MRI， cerebrospinal fluid examination， and D-dimer test showed no abnormalities； initial lumbar puncture showed an intracranial pressure of 330 mm H2O. Headache was improved after anticoagulant therapy and symptomatic treatment. This case report suggests that for patients presenting with cough-induced headache accompanied by high intracranial pressure， the possibility of jugular vein thrombosis should be considered in addition to the causes such as posterior fossa lesions， obstructive hydrocephalus， subdural hematoma， and jugular valve insufficiency， and jugular vein ultrasound should be performed to assist in diagnosis and facilitate timely anticoagulant therapy.
- Full text:2025120114560503025以咳嗽性头痛为表现的自发性颈内静脉血栓形成1例报告.pdf
