Decreased Jugular Venous Distensibility in Migraine

Chih Ping Chung, A. Ching Chao, Hung Y. Hsu, Shing Jong Lin, Han H. Hu

Research output: Contribution to journalArticlepeer-review

25 Citations (Scopus)


It has been demonstrated that internal jugular vein (IJV) compression aggravates headache intensity in patients of migraine. We hypothesized that patients with migraine may have veins that are less distensible; consequently, these veins are more likely to develop and transmit venous hypertension caused by the increased venous blood volume during IJV compression. We used ultrasonography to measure the extent of venodilatation and distensibility of IJV in response to increased transmural pressure, which was produced by a Valsalva maneuver. The extent of venodilatation were compared between 23 migraine patients (5 men, 18 women; mean age: 40.22 ± 12.71 years, range: 27-7 years) and 23 age- and gender-matched normal individuals (5 men, 18 women; mean age: 40.23 ± 12.04 years, range: 27-7 years). In the result, the venodilatation of IJV in response to each level of Valsalva pressure in patients with migraine was significantly less than that in normal individuals. Our results suggest that patients with migraine have less compliant IJVs, which makes them susceptible to cerebral venous hypertension. Further studies are needed to elucidate the clinical implications of decreased venous distensibility in migraine patients. (E-mail:

Original languageEnglish
Pages (from-to)11-16
Number of pages6
JournalUltrasound in Medicine and Biology
Issue number1
Publication statusPublished - Jan 1 2010
Externally publishedYes


  • Internal jugular vein
  • Migraine
  • Venous compliance

ASJC Scopus subject areas

  • Biophysics
  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology


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