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Follow the Lead: Internal Jugular Vein Thrombosis

      Although head and neck pain in the absence of focal neurologic deficits and other neurologic symptoms frequently have a benign source, a thorough evaluation and history sometimes uncover a life-threatening situation. A 65-year-old white woman presented to her primary care physician after 2 days of severe headache and neck pain. Her headache, mainly in the occipital region, radiated to the left retroauricular region and the back of her left neck. She denied weakness, numbness, nausea, vomiting, visual disturbances, dizziness, lightheadedness, and a history of trauma.
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      References

        • Oginosawa Y.
        • Abe H.
        • Nakashima Y.
        The incidence and risk factors for venous obstruction after implantation of transvenous pacing leads.
        Pacing Clin Electrophysiol. 2002; 25: 1605-1611
        • van Rooden C.J.
        • Molhoek S.G.
        • Rosendaal F.R.
        • Schalij M.J.
        • Meinders A.E.
        • Huisman M.V.
        Incidence and risk factors of early venous thrombosis associated with permanent pacemaker leads.
        J Cardiovasc Electrophysiol. 2004; 15: 1258-1262
        • Arhi C.S.
        • Buchanan M.A.
        • Allen S.A.
        • Pickles J.
        Internal jugular vein thrombosis secondary to a permanent cardiac pacemaker: an unusual case of lateral neck swelling.
        J Laryngol Otol. 2010; 124: 916-918
        • Fitzgerald S.P.
        • Leckie W.J.
        Thrombosis complicating transvenous pacemaker lead presenting as contralateral internal jugular vein occlusion.
        Am Heart J. 1985; 109: 593-595
        • Gbaguidi X.
        • Janvresse A.
        • Benichou J.
        • Cailleux N.
        • Levesque H.
        • Marie I.
        Internal jugular vein thrombosis: outcome and risk factors.
        QJM. 2011; 104: 209-219
        • Girard D.E.
        • Reuler J.B.
        • Mayer B.S.
        • Nardone D.A.
        • Jendrzejewski J.
        Cerebral venous sinus thrombosis due to indwelling transvenous pacemaker catheter.
        Arch Neurol. 1980; 37: 113-114
        • Placci A.
        • Mattioli M.
        • Notarangelo M.F.
        • Gonzi G.
        • Zardini M.
        Internal jugular vein complete thrombosis after dual chamber pacemaker implant.
        J Atr Fibrillation. 2016; 9: 1406
        • Graham R.F.
        • Wightman J.M.
        Neck pain one week after pacemaker generator replacement.
        J Emerg Med. 2015; 49: e5-e8
        • Streiff M.B.
        • Agnelli G.
        • Connors J.M.
        • et al.
        Guidance for the treatment of deep vein thrombosis and pulmonary embolism.
        J Thromb Thrombolysis. 2016; 41: 32-67