Pearls & Oy-sters: Cerebral Venous Congestion Associated With Cognitive Decline Treated by Jugular Release

Authors

Christopher T. Primiani, From the Department of Neurology (C.T.P., A.E.H.), Johns Hopkins University School of Medicine, Baltimore, MD; Department of Neurosurgery (M.L.), Barrow Neurological Institute, Phoenix, AZ; and The Russell H. Morgan Department of Radiology and Radiological Sciences (F.K.H.), Johns Hopkins Hospital, Baltimore, MD. cprimiani@jhmi.edu.
Michael Lawton, From the Department of Neurology (C.T.P., A.E.H.), Johns Hopkins University School of Medicine, Baltimore, MD; Department of Neurosurgery (M.L.), Barrow Neurological Institute, Phoenix, AZ; and The Russell H. Morgan Department of Radiology and Radiological Sciences (F.K.H.), Johns Hopkins Hospital, Baltimore, MD.Follow
Argye Elizabeth Hillis, From the Department of Neurology (C.T.P., A.E.H.), Johns Hopkins University School of Medicine, Baltimore, MD; Department of Neurosurgery (M.L.), Barrow Neurological Institute, Phoenix, AZ; and The Russell H. Morgan Department of Radiology and Radiological Sciences (F.K.H.), Johns Hopkins Hospital, Baltimore, MD.
Ferdinand K. Hui, From the Department of Neurology (C.T.P., A.E.H.), Johns Hopkins University School of Medicine, Baltimore, MD; Department of Neurosurgery (M.L.), Barrow Neurological Institute, Phoenix, AZ; and The Russell H. Morgan Department of Radiology and Radiological Sciences (F.K.H.), Johns Hopkins Hospital, Baltimore, MD.

Document Type

Article

Abstract

Cognitive dysfunction is often multifaceted and can be seen across all age groups in medicine. The combination of cognitive decline and increased intracranial pressure may suggest possible anatomical abnormalities. We present a case report from our academic center that describes a young man with new cognitive fatigue and brain fog in the setting of increased venous pressure that resolved with surgical intervention at a site of jugular vein stenosis. We discuss current hypotheses from basic and clinical research related to pathophysiology underlying venous vascular congestion and associated neurologic disorders. Further research is warranted to elucidate the underlying mechanisms of venous congestion and cognition to better identify therapies and improve quality of life for patients.

Medical Subject Headings

Cerebral Veins (diagnostic imaging); Cognitive Dysfunction (etiology); Humans; Hyperemia (etiology); Jugular Veins (diagnostic imaging, surgery); Male; Quality of Life

Publication Date

9-27-2022

Publication Title

Neurology

E-ISSN

1526-632X

Volume

99

Issue

13

First Page

577

Last Page

580

PubMed ID

35851254

Digital Object Identifier (DOI)

10.1212/WNL.0000000000201037

Recommended Citation

Primiani, Christopher T.; Lawton, Michael; Hillis, Argye Elizabeth; and Hui, Ferdinand K., "Pearls & Oy-sters: Cerebral Venous Congestion Associated With Cognitive Decline Treated by Jugular Release" (2022). Neurosurgery. 1824.
https://scholar.barrowneuro.org/neurosurgery/1824