Hyperhomocysteinemia is a risk factor for both arterial and venous thrombosis. In this article, the author describes the case of a patient who developed incapacitating Meniere's symptom complex. The work-up revealed a left internal jugular vein thrombosis, and it was later found that the patient had hyperhomocysteinemia. The author postulates that the hyperhomocysteinemia predisposed this patient to clot formation in the left internal jugular vein and this in turn led to the development of the Meniere's symptoms. Once the patient was anticoagulated, her symptoms resolved.
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