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.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to The American Journal of MedicineAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- The incidence and risk factors for venous obstruction after implantation of transvenous pacing leads.Pacing Clin Electrophysiol. 2002; 25: 1605-1611
- Incidence and risk factors of early venous thrombosis associated with permanent pacemaker leads.J Cardiovasc Electrophysiol. 2004; 15: 1258-1262
- Internal jugular vein thrombosis secondary to a permanent cardiac pacemaker: an unusual case of lateral neck swelling.J Laryngol Otol. 2010; 124: 916-918
- Thrombosis complicating transvenous pacemaker lead presenting as contralateral internal jugular vein occlusion.Am Heart J. 1985; 109: 593-595
- Internal jugular vein thrombosis: outcome and risk factors.QJM. 2011; 104: 209-219
- Cerebral venous sinus thrombosis due to indwelling transvenous pacemaker catheter.Arch Neurol. 1980; 37: 113-114
- Internal jugular vein complete thrombosis after dual chamber pacemaker implant.J Atr Fibrillation. 2016; 9: 1406
- Neck pain one week after pacemaker generator replacement.J Emerg Med. 2015; 49: e5-e8
- Guidance for the treatment of deep vein thrombosis and pulmonary embolism.J Thromb Thrombolysis. 2016; 41: 32-67
Article info
Publication history
Published online: March 27, 2018
Thomas J. Marrie, MD, Section EditorFootnotes
Funding: None.
Conflicts of Interest: None.
Authorship: All authors had access to the data and played a role in writing this manuscript.
Identification
Copyright
© 2018 Elsevier Inc. All rights reserved.