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While antegrade\/downstream propagation of thrombus is well described\u2014the Lemierre syndrome\u2014thrombophlebitis can spread in atypical patterns which has specific diagnostic and treatment considerations. In this series, we highlight 6 cases of atypical thrombophlebitis patterns complicating head and neck infection, 5 of which extend intracranially. Through these pathways, head and neck infections such as oral cavity, oropharynx, or skin can be the culprit of remote, including intracranial, complications, which may be overlooked. Furthermore, understanding pathways of venous drainage and communication can help accurately diagnose thrombophlebitis patterns and associated complications.<\/jats:p>","DOI":"10.1177\/19714009231163564","type":"journal-article","created":{"date-parts":[[2023,3,13]],"date-time":"2023-03-13T08:04:33Z","timestamp":1678694673000},"page":"760-765","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Atypical thrombophlebitis patterns in head and neck infections"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3141-5738","authenticated-orcid":false,"given":"Elizabeth","family":"George","sequence":"first","affiliation":[{"name":"Department of Radiology and Biomedical Imaging, University of California San Francisco, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew L","family":"Callen","sequence":"additional","affiliation":[{"name":"Department of 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