Jugular phlebectasia

Aim of the study: Phlebectasia of the jugular veins is a rare finding. What is their clinical implication? Methods: Retrospective analysis of seven patients (age 3-16 years, 1 female , 6 males) with jugular phlebectasias with a mean follow-up of 4 1/2 years (range 1-11 years). Results: Presentation is usually an impressive jugular swelling, with elast ic properties, a non-pulsatile character, and a unilateral localization. Fi ndings in all patients showed marginal progression. No patient had clinical impairment because of the jugular swelling. The most accepted pathology is aneurysm formation in the venous wall. Conclusions: Indication for treatment in childhood is limited to severely s ymptomatic patients.