Walsh & Hoyt: Clinical Manifestations

Occlusion of the internal jugular may be asymptomatic or may produce a variety of systemic and ocular complications. Clinical manifestations are usually related to increased intracranial pressure. Cases with bilateral compromise of jugular outflow and those involving the dominant jugular venous drainage exhibitmore severe signs and symptoms. Occlusion of the internal jugular vein may be asymptomatic when the nondominant side is affected. Swelling of the face and neck may occur, sometimes accompanied by neck pain and tenderness. The most serious systemic complications are pulmonary emboli, septic embolism, and septicemia