Abstract
Merry Sebelik, MD, FACS UTHSC Department of OTOHNS Email: msebelik@uthsc.edu Objective: 1. Review presentation, diagnosis and management of Lemierre syndrome (infectious jugular venous thrombosis). 2. Discuss use of multiplanar reconstruction of contrast CT images to diagnose internal jugular vein (IJV) thrombosis. 3. Learn the indications for obtaining alternative (non-axial) image views and discuss the need for more invasive diagnostic imaging studies such as angiography in detecting IJV thrombosis. Method: This study is a case report with a review of the literature. Conclusion: Lemierre syndrome is a rare but potential life threatening condition with high mortality rate (5%-18%). Diagnosis is made by the radiologic finding of thrombosis of internal jugular vein (IJV) associated with oro-pharyngeal infection. This case suggests that advanced imaging using contrast CT with reconstruction in alternate planes may avoid angiography for the diagnosis of Lemierre syndrome. Communication between the clinician and radiologist is essential. Multi-planar CT Reconstruction to Diagnose Lemierre Syndrome Mona Shete, MDa; Jorge Salazar, MDa, b; Merry Sebelik, MD, FACSa, b aUniversity of Tennessee Health Science Center Department of Otolaryngology, bVeterans Administration Medical Center-Memphis
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