Surgical Implications of Internal Jugular Stenosis in a Patient Undergoing Resection of a Craniocervical Junction Meningioma

Internal jugular vein (IJV) stenosis is being increasingly associated with certain neurological conditions, including benign intracranial hypertension, cerebrospinal fluid (CSF) disorders, multiple sclerosis and Alzheimer's disease. The role of surgery in IJV stenosis have typically been to manage the associated CSF disorders, or with IJV stents. We describe a case of a patient incidentally found to have bilateral possible IJV stenosis with dilated paraspinal collateral venous channels during pre-operative CT angiogram for a symptomatic craniocervical junction meningioma, and the associated operative considerations.