{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T00:17:35Z","timestamp":1788308255932,"version":"build-2803163510"},"reference-count":10,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"9","license":[{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurosurg Case Lessons"],"published-print":{"date-parts":[[2026,8,31]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Compression of the upper segment (J3) of the internal jugular vein (IJV) between the C1 transverse process (C1TP) and styloid process (SP) is an increasingly recognized condition. No previous case of J3-IJV compression by the internal carotid artery (ICA) has been reported. The authors present the case of a patient with J3-IJV compression treated with arterial transposition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>A 49-year-old male presented with a multiyear history of intractable pulsatile tinnitus, headaches, visual disturbances, cognitive disturbance, and head pressure. The patient had previously undergone right transverse sinus stent placement for presumed stenosis, which failed to relieve symptoms. Imaging revealed compression of the right J3-IJV by the adjacent ICA at the level of the SP and atlas. The authors performed anterior transposition of the ICA with fixation to the SP and C1TP resection for circumferential IJV decompression. Complete resolution of all presenting symptoms occurred postoperatively, with sustained improvement at follow-up. Postoperative imaging confirmed elimination of J3-IJV stenosis and disappearance of the posterior collateral network.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>This case demonstrates that anterior ICA transposition with styloid fixation is a viable surgical option for symptomatic IJV compression. This technique may represent a novel approach for select patients with arterial-venous compression syndromes in the neck.<\/jats:p>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/thejns.org\/doi\/10.3171\/CASE26599\">https:\/\/thejns.org\/doi\/10.3171\/CASE26599<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case26599","type":"journal-article","created":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T00:01:15Z","timestamp":1787702475000},"source":"Crossref","is-referenced-by-count":0,"title":["Internal carotid artery anterior transposition for internal jugular vein decompression: illustrative case"],"prefix":"10.3171","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5085-8115","authenticated-orcid":true,"given":"Kamran","family":"Aghayev","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Acibadem Atakent Hospital, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-6946-0603","authenticated-orcid":true,"given":"Zachary","family":"Comella","sequence":"additional","affiliation":[{"name":"Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank D.","family":"Vrionis","sequence":"additional","affiliation":[{"name":"Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton"},{"name":"Department of Neurosurgery, Marcus Neuroscience Institute, Boca Raton Regional Hospital, Boca Raton, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"11","key":"bib1","series-title":"Head Neck","first-page":"E153","article-title":"Styloid\/C1 transverse process juxtaposition as a cause of Eagle\u2019s syndrome","volume":"37","author":"Ho","year":"2015","unstructured":"Ho SLuginbuhl AFinden SCurry JMCognetti DM.Styloid\/C1 transverse process juxtaposition as a cause of Eagle\u2019s syndrome. Head Neck. 2015;37(11):E153-E156. doi:10.1002\/hed.24024"},{"issue":"8","key":"bib2","series-title":"J Int Med Res","first-page":"3926","article-title":"Internal jugular vein stenosis induced by tortuous internal carotid artery compression: two case reports and literature review","volume":"47","author":"Li","year":"2019","unstructured":"Li MSu CFan CChan CCBai CMeng R.Internal jugular vein stenosis induced by tortuous internal carotid artery compression: two case reports and literature review. J Int Med Res. 2019;47(8):3926-3933. doi:10.1177\/0300060519860678"},{"issue":"11","key":"bib3","series-title":"Acta Neurochir (Wien)","first-page":"3445","article-title":"Extreme lateral infracondylar approach for internal jugular vein compression syndrome: a case series with preliminary clinical outcomes","volume":"165","author":"Yang","year":"2023","unstructured":"Yang KShah KBegley SLExtreme lateral infracondylar approach for internal jugular vein compression syndrome: a case series with preliminary clinical outcomes. Acta Neurochir (Wien). 2023;165(11):3445-3454. doi:10.1007\/s00701-023-05779-0"},{"issue":"1","key":"bib4","series-title":"Neurosurg Focus","first-page":"E18","article-title":"Surgical outcomes of styloidectomy, internal jugular vein fasciotomy, and C1 transverse process resection for venopathic intracranial hypertension","volume":"60","author":"Abeysinghe","year":"2026","unstructured":"Abeysinghe NParker GAllan RRao PJElliott MS.Surgical outcomes of styloidectomy, internal jugular vein fasciotomy, and C1 transverse process resection for venopathic intracranial hypertension. Neurosurg Focus. 2026;60(1):E18. doi:10.3171\/2025.10.FOCUS25849"},{"key":"bib5","series-title":"Ann Vasc Surg","first-page":"269.e11","article-title":"Internal carotid artery tortuosity as a rare cause of dysphagia: case report and literature review","volume":"53","author":"Antunes","year":"2018","unstructured":"Antunes IMachado RRego DInternal carotid artery tortuosity as a rare cause of dysphagia: case report and literature review. Ann Vasc Surg. 2018;53:269.e11-269.e15. doi:10.1016\/j.avsg.2018.04.045"},{"key":"bib6","series-title":"NMC Case Rep J","first-page":"27","article-title":"Symptomatic improvement after surgical transposition of an extremely medialized carotid artery causing swallowing discomfort: a case report","volume":"12","author":"Hirai","year":"2025","unstructured":"Hirai NKajikawa RNishikawa YSymptomatic improvement after surgical transposition of an extremely medialized carotid artery causing swallowing discomfort: a case report. NMC Case Rep J. 2025;12:27-31. doi:10.2176\/jns-nmc.2024-0158"},{"key":"bib7","series-title":"Ann Vasc Surg","first-page":"310.e5","article-title":"Carotid-carotid bypass graft for internal carotid artery kinking causing dysphagia","volume":"43","author":"Stilo","year":"2017","unstructured":"Stilo FCatanese VCasale MBernardini SMontelione NSpinelli F.Carotid-carotid bypass graft for internal carotid artery kinking causing dysphagia. Ann Vasc Surg. 2017;43:310.e5-310.e7. doi:10.1016\/j.avsg.2017.01.015"},{"issue":"5","key":"bib8","series-title":"J Vasc Surg","first-page":"950","article-title":"May-Thurner syndrome in an adolescent: persistence despite operative management","volume":"30","author":"Simon","year":"1999","unstructured":"Simon CAlvarez JJrBecker GJKatzen BTBenenati JFZemel G.May-Thurner syndrome in an adolescent: persistence despite operative management. J Vasc Surg. 1999;30(5):950-953. doi:10.1016\/s0741-5214(99)70022-4"},{"issue":"3","key":"bib9","series-title":"J Vasc Surg","first-page":"477","article-title":"Iliac vein compression syndrome: case report and review of the literature","volume":"24","author":"Akers","year":"1996","unstructured":"Akers DLJrCreado BHewitt RL.Iliac vein compression syndrome: case report and review of the literature. J Vasc Surg. 1996;24(3):477-481. doi:10.1016\/s0741-5214(96)70205-7"},{"issue":"6","key":"bib10","series-title":"J Vasc Surg Venous Lymphat Disord","first-page":"1104","article-title":"A review into the management of May-Thurner syndrome in adolescents","volume":"8","author":"Hansrani","year":"2020","unstructured":"Hansrani VMoughal SElmetwally AAl-Khaffaf H.A review into the management of May-Thurner syndrome in adolescents. J Vasc Surg Venous Lymphat Disord. 2020;8(6):1104-1110. doi:10.1016\/j.jvsv.2020.05.006"}],"container-title":["Journal of Neurosurgery: Case Lessons"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/12\/9\/article-CASE26599.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/12\/9\/article-CASE26599.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/12\/9\/article-CASE26599.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T00:01:24Z","timestamp":1788307284000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/12\/9\/article-CASE26599.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,31]]},"references-count":10,"journal-issue":{"issue":"9"},"URL":"https:\/\/doi.org\/10.3171\/case26599","relation":{},"ISSN":["2694-1902"],"issn-type":[{"value":"2694-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,31]]}}}