Venous cerebral infarction in a patient with peripheral hemodialysis shunt and occlusion of the left brachiocephalic vein.
Intracranial venous congestion is a rare condition in hemodialysis patients with central venous occlusion. We report a patient with cerebral venous infarction resulting from high reflex flow into the cranium induced by an arteriovenous hemodialysis shunt in the arm and occlusion of the brachiocephalic vein. This case illustrates that abnormal extracranial venous circulation should be considered when cerebral venous congestion is assumed to produce neurologic symptoms in patients with an arteriovenous shunt.
Nishijima
Haruo
H
Department of Neurology, Aomori Prefectural Central Hospital, Aomori City, Japan. hnishijima-tky@umin.ac.jp
Tomiyama
Masahiko
M
Haga
Rie
R
Ueno
Tatsuya
T
Miki
Yasuo
Y
Arai
Akira
A
Kimura
Tamaki
T
Suzuki
Chieko
C
Nunomura
Jin-ichi
J
Kakehata
Shinya
S
Kawaguchi
Toshiaki
T
Baba
Masayuki
M
D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects*; D016121:Brachiocephalic Veins / Q000000981:diagnostic imaging / Q000503:physiopathology* / Q000601:surgery; D002544:Cerebral Infarction / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D002550:Cerebral Veins / Q000503:physiopathology*; D002560:Cerebrovascular Circulation; D003251:Constriction, Pathologic; D038524:Diffusion Magnetic Resonance Imaging; D005260:Female; D006801:Humans; D006940:Hyperemia / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D008026:Ligation; D008875:Middle Aged; D010690:Phlebography; D006435:Renal Dialysis; D012086:Reoperation; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014690:Venous Pressure