Corrigendum

Isolated Venous Aneurysm of Internal Jugular Vein—A Case Report—S. G. Desa Souza et al were females of 22 months and 9 years respec- tively and one case was 4 years old male. All these cases presented with a soft compressible mass in the left side of neck, which increased in size substantially on Valsalva manouvre. All three cases were treated successfully by excision of the involved segment of the vein. There were no early or late complications and no recurrences were noted in 4-7 years follow up. The 3 cases of aneurysm of internal jugular vein reported in literature and the present case reported here showed striking similarities. All the patients were below 10 years of age and all presented with a soft compressible swelling in the neck, which increased substantially in size after a Valsalva manouvre. TREATMENT All the case reports of Internal Jugular Vein aneurysm cited in literature have been treated by surgery i.e. excision of the aneurysmal segment of the internal jugular vein. Surgical excision is done purely for cosmetic reasons. No early or late complications have been reported and no recurrences have been noted on follow up. Unfortunately our patient was not willing for surgery and hence excision of the Internal Jug- ular Vein aneurysm could not be done. SUMMARY A swelling in the neck, which becomes prominent on exertion (Valsava) could be a laryngocoele, Pharyngeal pouch or a lymphangioma. Although isolated venous aneurysms are extremely rare in children and only a few cases have been reported in literature, they also present clinically with a swelling in the neck which becomes prominent on Valsalva. Proper investigation establishes the diagnosis of this rare clinical entity. Because of its rare occurence a case isolated venous aneurysm in an 8 year old boy its clinical presentation, the investigation protocol and the treatment of this condition is discussed here. REFERENCES 1. Richard K. Danis (1982) : Isolated aneurysm of Internal Jugular Vein—A report of three cases. Journal of Paediatric Surgery Vol. 17 No. 2. 2. Heil B.J., Felmen A.H., Talbert J.L., Hawkins I.F., Garnica A (1978) : Idiopathic dilatation of the Superior Vena Cava; Journal of Paediatric Surgery, Vol 13, No. 2. 3. Irwin J. Schatz Gerald Fine (1962) : Various Aneurysms: N Eng J Med. Vol 266, No 25. CORRIGENDUM The article entitled 'Study of Tympanomastoidectomy Under local Anaesthesia Using Bupivocainé published in 47:2:1995 should bear the name of Ajit Singh Khurana, Professor (ENT II) Rajendra Hospital Patiala 147 001 as its co-author, The mistake is regretted. Editor VN[.71 47. NO. 4, Oct - Dec, 1995 314

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Isolated Venous Aneurysm of Internal Jugular Vein—A Case Report—S. G. Desa Souza et al

were females of 22 months and 9 years respec-tively and one case was 4 years old male. Allthese cases presented with a soft compressiblemass in the left side of neck, which increasedin size substantially on Valsalva manouvre. Allthree cases were treated successfully by ex-cision of the involved segment of the vein.There were no early or late complications andno recurrences were noted in 4-7 years followup.

The 3 cases of aneurysm of internal jugularvein reported in literature and the present casereported here showed striking similarities. Allthe patients were below 10 years of age andall presented with a soft compressible swellingin the neck, which increased substantially insize after a Valsalva manouvre.

TREATMENT

All the case reports of Internal Jugular Veinaneurysm cited in literature have been treatedby surgery i.e. excision of the aneurysmal seg-ment of the internal jugular vein. Surgical exci-sion is done purely for cosmetic reasons. No

early or late complications have been reportedand no recurrences have been noted on followup.

Unfortunately our patient was not willing forsurgery and hence excision of the Internal Jug-ular Vein aneurysm could not be done.

SUMMARY

A swelling in the neck, which becomesprominent on exertion (Valsava) could be alaryngocoele, Pharyngeal pouch or alymphangioma. Although isolated venousaneurysms are extremely rare in children andonly a few cases have been reported inliterature, they also present clinically with aswelling in the neck which becomes prominenton Valsalva. Proper investigation establishesthe diagnosis of this rare clinical entity.

Because of its rare occurence a caseisolated venous aneurysm in an 8 year old boyits clinical presentation, the investigationprotocol and the treatment of this condition isdiscussed here.

REFERENCES

1. Richard K. Danis (1982) : Isolated aneurysm of Internal Jugular Vein—A report of three cases.Journal of Paediatric Surgery Vol. 17 No. 2.

2. Heil B.J., Felmen A.H., Talbert J.L., Hawkins I.F., Garnica A (1978) : Idiopathic dilatation of theSuperior Vena Cava; Journal of Paediatric Surgery, Vol 13, No. 2.

3. Irwin J. Schatz Gerald Fine (1962) : Various Aneurysms: N Eng J Med. Vol 266, No 25.

CORRIGENDUM

The article entitled 'Study of Tympanomastoidectomy Under local Anaesthesia Using

Bupivocainé published in 47:2:1995 should bear the name of Ajit Singh Khurana,

Professor (ENT II) Rajendra Hospital Patiala 147 001 as its co-author,

The mistake is regretted.

Editor

VN[.71

47. NO. 4, Oct - Dec, 1995

314