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The omohyoid and sternocleidomastoid muscles entrapment of the internal jugular vein: Which role in Mèniére disease patients? Treatment perspective description

Davide Piraino, Girolamo Garofalo, Antonella Faletra, Aldo Messina
  • Davide Piraino
    Interventional Cardiology Unit, P. Giaccone Universitary Hospital, Palermo, Italy | pirainod@libero.it
  • Girolamo Garofalo
    Audiology Section, P. Giaccone Universitary Hospital, Palermo, Italy
  • Antonella Faletra
    Audiology Section, P. Giaccone Universitary Hospital, Palermo, Italy
  • Aldo Messina
    Audiology Section, P. Giaccone Universitary Hospital, Palermo, Italy

Abstract

The objectives were to analyze the Internal Jugular vein entrapment caused by muscles compression and the possible role and correlation in Mèniére disease. We describe the eco-color Doppler evaluation of a sternocleidomastoid and omohyoid muscles compression of internal jugular vein in a Mèniére patient, responsible of an anomalous venous cerebral and ear outflow. The proposed treatment was a three months muscolar decontractration physiotherapy program. The physiotherapy session allowed a complete muscles relaxation with an improvement of Internal Jugular vein caliber associated to a normalized cerebral and inner ear venous outflow and a progressive attenuation of Mèniére symptoms during the treatment and its disappearance at the end of the physiotherapy program. The comfort of the patient was confirmed during one-year follow-up. Muscles entrapment of Internal Jugular veins may be correlated with an anomalous cerebral and inner ear venous outflow, promoting the Mèniére disease symptoms. Physiotherapy treatment may represent an intriguing option alternatively of muscle surgical. The present case seems to indicate a possible first line treatment by physiotherapy, reserving surgical resection to not responders. Further studies with a wider sample of patients are warranted.

Keywords

Internal jugular vein; muscle entrapment; physiotherapy treatment.

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Submitted: 2018-08-12 21:45:41
Published: 2018-10-08 12:24:55
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Copyright (c) 2018 Davide Piraino, Girolamo Garofalo, Antonella Faletra, Aldo Messina

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