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unilateral jugular vein ligation

Posted: Fri Aug 05, 2011 7:51 am
by Cece
http://www.sciencedirect.com/science/ar ... 0377800878
Journal of Maxillofacial Surgery
Volume 5, 1977, Pages 118-123

Serious cerebral complications following unilateral ligation of the internal jugular vein

Jürgen Rolffs1 and Rainer Schmelzle1

Department of Oral and Maxillo-Facial Surgery (Head: Prof. N. Schwenzer, M.D., D.M.D.), School of Dental Medicine, University of Tübingen, West-Germany

Available online 1 August 2005.

Summary

Serious intracranial sequelae of unilateral internal jugular vein ligation or resection are extremely rare. 22 cases including our own, were found in the literature, eight of them with a fatal outcome. Factors involved such as abnormalities of the cerebral venous sinus system, controlled hypotension, hypovolemia, posture, and dressings are discussed, as well as safeguards and possible preoperative diagnostic measures.
Can anyone read the full article? I am curious about the factors they mention. Exactly what abnormalities of the cerebral venous sinus system, combined with a ligation of which jugular, led to what outcomes? Why is posture listed as a factor involved with the outcomes? Would staying upright be beneficial after jugular vein ligation (which I do not recommend any of us getting, although little difference between that and jugular vein occlusion that some have suffered)? This is older research, from 1977.