Posterior cervical osteophytes can lead to jugular foramen syndrome
Despite their rarity, posterior cervical osteophytes can result in the development of jugular foramen syndrome, according to researchers.
The researchers studied a case of a 74-year-old man who presented with progressive dysphagia and dysarthria and was also found to have tongue deviation on the right side, left palatal droop and hypophonia.
After the patient underwent MRI and a CT scan, the researchers found he also had a posterior osteophyte arising from the C1–C2 joint space and projecting into the right jugular foramen. This ended up leading to the development of jugular foramen syndrome, as well as to a delay in filling the patient’s right internal jugular vein distal to the osteophyte, according to the researchers.
The researchers concluded that surgical treatment of the condition should be undertaken if conservative management, typically nonsteroidal anti-inflammatory drugs, fails; however, improvement following neural compression is uncertain and is usually dependent upon the extent and duration of preoperative neural compression.
Disclosure: The authors have no relevant financial disclosures.