@article {Wernz:2024:2637-8329:248,
title = "An Atypical Case of Miyazaki Syndrome with Internal Jugular Vein Stenoses and Persistent Cervical Subdural Effusions",
journal = "Neurographics",
parent_itemid = "infobike://asnr/ng",
publishercode ="asnr",
year = "2024",
volume = "14",
number = "3",
publication date ="2024-07-01T00:00:00",
pages = "248-252",
itemtype = "ARTICLE",
issn = "2637-8329",
eissn = "2637-8329",
url = "https://asnr.publisher.ingentaconnect.com/content/asnr/ng/2024/00000014/00000003/art00006",
doi = "doi:10.3174/ng.2300019",
keyword = "IJV = internal jugular vein, MiY = Miyazaki syndrome, VP = ventriculoperitoneal",
author = "Wernz, C.W. and Gandhi, A.A. and Yu, A.C. and Ansari, S. and Delumpa, A.E.",
abstract = "We detail a case of overshunting associated myelopathy, or Miyazaki syndrome, in a patient with an implanted ventriculoperitoneal shunt. This case is unique because the cord compression was mainly due to a subdural effusion, which did not resolve after correction of CSF over-shunting.
We aim to show that the presence of bilateral internal jugular vein stenoses may have led to preferential development of cervical epidural venous drainage and congestion, which subsequently led to subdural effusion.Learning Objectives: Recognize
factors that contribute to the development of Miyazaki Syndrome. Differentiate Miyazaki Syndrome from simple intracranial hypotension. Identify causes of preferential outflow into the cervical epidural venous
plexus. ",
}