Polycystic kidney disease associated with cervical arteriovenous shunt and bilateral jugular vein occlusion.
A 59-year-old man with abnormal vascular features (intracranial aneurysm, a cervical arteriovenous shunt, bilateral internal jugular vein occlusions, and left transverse sinus hypoplasia), as well as left optic atrophy was suspected to have familial polycystic kidney disease. The possibility of autosomal dominant polycystic kidney disease complicated by Ehlers-Danlos syndrome type IV due to the coexistence of vasculopathy and polycystic kidneys was considered. However, the negative results of a skin fibroblast culture rendered the diagnosis of Ehlers-Danlos syndrome type IV unlikely. The cause of left optic atrophy in our patient remains unclear although it was suspected to be a secondary consequence of papilledema, which was caused by intracranial hypertension.
Nishida
Takashi
T
Third Department of Internal Medicine, National Defense Medical College, Tokorozawa, Saitama.
Ishihara
Shoichiro
S
Kaji
Tatsumi
T
Tajima
Shingo
S
Tanabe
Hajime
H
Motoyoshi
Kazuo
K
Kamakura
Keiko
K
D001164:Arteriovenous Fistula / Q000150:complications*; D002339:Carotid Arteries / Q000002:abnormalities*; D006801:Humans; D007601:Jugular Veins / Q000002:abnormalities*; D008297:Male; D008875:Middle Aged; D007690:Polycystic Kidney Diseases / Q000150:complications*; D014652:Vascular Diseases / Q000150:complications