Central Venous Reflux, a Rare Cause of Neurological Manifestations in Hemodialysis Patients: A Case Report and Literature Review
Central venous disease (CVD) is a serious complication in hemodialysis patients. Neurological manifestations are rare. We describe a female with end-stage renal disease with throbbing headache accompanied by paresthesia, weakness, and abnormal posture of her right hand during dialysis sessions. Moto...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society of Interventional Neuroradiology
2022-03-01
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| Series: | Neurointervention |
| Subjects: | |
| Online Access: | http://neurointervention.org/upload/pdf/neuroint-2021-00444.pdf |
| _version_ | 1797334994716196864 |
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| author | Francisco Caiza-Zambrano Carolina Mora Palacio Silvia Garbugino Fabio Maximiliano Gonzalez Marta Bala Biolcati Miguel Ángel Saucedo Carlos Rugilo Mariano Forrester Fernando Lombi Manuel Fernández Pardal Ricardo Reisin Pablo Bonardo |
| author_facet | Francisco Caiza-Zambrano Carolina Mora Palacio Silvia Garbugino Fabio Maximiliano Gonzalez Marta Bala Biolcati Miguel Ángel Saucedo Carlos Rugilo Mariano Forrester Fernando Lombi Manuel Fernández Pardal Ricardo Reisin Pablo Bonardo |
| author_sort | Francisco Caiza-Zambrano |
| collection | DOAJ |
| description | Central venous disease (CVD) is a serious complication in hemodialysis patients. Neurological manifestations are rare. We describe a female with end-stage renal disease with throbbing headache accompanied by paresthesia, weakness, and abnormal posture of her right hand during dialysis sessions. Motor symptoms completely resolved after each dialysis session, although the headaches persisted for several hours. No neurological deficit was evidenced on physical examination. Digital subtraction angiography identified an incomplete thrombosis of the left brachiocephalic vein with retrograde flow in the internal jugular vein, sigmoid sinus, and transverse sinus on the left side. This case illustrates that cerebral venous congestion due to CVD can produce neurological symptoms. Furthermore, we systematically review the literature to identify the characteristics of the cases described so far. This allows clinicians to know the entity and have a high index of suspicion in a hemodialysis patient who develops neurological symptoms. |
| first_indexed | 2024-03-08T08:30:23Z |
| format | Article |
| id | doaj.art-59e1573ad4194f9c959062686569b1c6 |
| institution | Directory Open Access Journal |
| issn | 2093-9043 2233-6273 |
| language | English |
| last_indexed | 2024-03-08T08:30:23Z |
| publishDate | 2022-03-01 |
| publisher | Korean Society of Interventional Neuroradiology |
| record_format | Article |
| series | Neurointervention |
| spelling | doaj.art-59e1573ad4194f9c959062686569b1c62024-02-02T03:31:23ZengKorean Society of Interventional NeuroradiologyNeurointervention2093-90432233-62732022-03-01171586410.5469/neuroint.2021.00444351Central Venous Reflux, a Rare Cause of Neurological Manifestations in Hemodialysis Patients: A Case Report and Literature ReviewFrancisco Caiza-Zambrano0Carolina Mora Palacio1Silvia Garbugino2Fabio Maximiliano Gonzalez3Marta Bala Biolcati4Miguel Ángel Saucedo5Carlos Rugilo6Mariano Forrester7Fernando Lombi8Manuel Fernández Pardal9Ricardo Reisin10Pablo Bonardo11 Department of Neurology, Hospital Británico, Buenos Aires, Argentina Department of Neuroradiology, Hospital Británico, Buenos Aires, Argentina Department of Interventional Neuroradiology, Hospital Británico, Buenos Aires, Argentina Department of Neurology, Hospital Británico, Buenos Aires, Argentina Department of Neurology, Hospital Británico, Buenos Aires, Argentina Department of Neurology, Hospital Británico, Buenos Aires, Argentina Department of Neuroradiology, Hospital Británico, Buenos Aires, Argentina Department of Nephrology, Hospital Británico, Buenos Aires, Argentina Department of Nephrology, Hospital Británico, Buenos Aires, Argentina Department of Neurology, Hospital Británico, Buenos Aires, Argentina Department of Neurology, Hospital Británico, Buenos Aires, Argentina Department of Neurology, Hospital Británico, Buenos Aires, ArgentinaCentral venous disease (CVD) is a serious complication in hemodialysis patients. Neurological manifestations are rare. We describe a female with end-stage renal disease with throbbing headache accompanied by paresthesia, weakness, and abnormal posture of her right hand during dialysis sessions. Motor symptoms completely resolved after each dialysis session, although the headaches persisted for several hours. No neurological deficit was evidenced on physical examination. Digital subtraction angiography identified an incomplete thrombosis of the left brachiocephalic vein with retrograde flow in the internal jugular vein, sigmoid sinus, and transverse sinus on the left side. This case illustrates that cerebral venous congestion due to CVD can produce neurological symptoms. Furthermore, we systematically review the literature to identify the characteristics of the cases described so far. This allows clinicians to know the entity and have a high index of suspicion in a hemodialysis patient who develops neurological symptoms.http://neurointervention.org/upload/pdf/neuroint-2021-00444.pdfneurologic manifestationsrenal dialysisvenous thrombosiscatheterization, central venousvascular access devices |
| spellingShingle | Francisco Caiza-Zambrano Carolina Mora Palacio Silvia Garbugino Fabio Maximiliano Gonzalez Marta Bala Biolcati Miguel Ángel Saucedo Carlos Rugilo Mariano Forrester Fernando Lombi Manuel Fernández Pardal Ricardo Reisin Pablo Bonardo Central Venous Reflux, a Rare Cause of Neurological Manifestations in Hemodialysis Patients: A Case Report and Literature Review Neurointervention neurologic manifestations renal dialysis venous thrombosis catheterization, central venous vascular access devices |
| title | Central Venous Reflux, a Rare Cause of Neurological Manifestations in Hemodialysis Patients: A Case Report and Literature Review |
| title_full | Central Venous Reflux, a Rare Cause of Neurological Manifestations in Hemodialysis Patients: A Case Report and Literature Review |
| title_fullStr | Central Venous Reflux, a Rare Cause of Neurological Manifestations in Hemodialysis Patients: A Case Report and Literature Review |
| title_full_unstemmed | Central Venous Reflux, a Rare Cause of Neurological Manifestations in Hemodialysis Patients: A Case Report and Literature Review |
| title_short | Central Venous Reflux, a Rare Cause of Neurological Manifestations in Hemodialysis Patients: A Case Report and Literature Review |
| title_sort | central venous reflux a rare cause of neurological manifestations in hemodialysis patients a case report and literature review |
| topic | neurologic manifestations renal dialysis venous thrombosis catheterization, central venous vascular access devices |
| url | http://neurointervention.org/upload/pdf/neuroint-2021-00444.pdf |
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