Intracranial hemorrhage due to central venous occlusion from hemodialysis access: A case report
Central venous stenosis in hemodialysis patients rarely causes venous hypertension and intracranial hemorrhage. A 54 year-old male with right arm arteriovenous fistula was transferred to our institution in a comatose state following right parietal venous infarction. Fistulography showed right brachi...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-06-01
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| Series: | Interdisciplinary Neurosurgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214751920306423 |
| _version_ | 1818613439819415552 |
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| author | Mohammed H. Mirza Adam Schwertner Ryan Kohlbrenner Christopher F. Dowd Kazim H. Narsinh |
| author_facet | Mohammed H. Mirza Adam Schwertner Ryan Kohlbrenner Christopher F. Dowd Kazim H. Narsinh |
| author_sort | Mohammed H. Mirza |
| collection | DOAJ |
| description | Central venous stenosis in hemodialysis patients rarely causes venous hypertension and intracranial hemorrhage. A 54 year-old male with right arm arteriovenous fistula was transferred to our institution in a comatose state following right parietal venous infarction. Fistulography showed right brachiocephalic vein (BCV) occlusion with reflux into the right transverse sinus and obstruction of left internal jugular vein outflow due to the styloid process. Balloon venoplasty of the right BCV occlusion failed to improve the patient’s status because of the delayed diagnosis. Headaches and neurologic symptoms in hemodialysis patients can herald intracranial hypertension due to central venous occlusion and needs prompt assessment with fistulography. |
| first_indexed | 2024-12-16T16:02:09Z |
| format | Article |
| id | doaj.art-99120fbd29de478484b00a7e50732757 |
| institution | Directory Open Access Journal |
| issn | 2214-7519 |
| language | English |
| last_indexed | 2024-12-16T16:02:09Z |
| publishDate | 2021-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Interdisciplinary Neurosurgery |
| spelling | doaj.art-99120fbd29de478484b00a7e507327572022-12-21T22:25:26ZengElsevierInterdisciplinary Neurosurgery2214-75192021-06-0124101081Intracranial hemorrhage due to central venous occlusion from hemodialysis access: A case reportMohammed H. Mirza0Adam Schwertner1Ryan Kohlbrenner2Christopher F. Dowd3Kazim H. Narsinh4Department of Radiology, University of Illinois College of Medicine, Peoria, IL, United StatesDepartment of Radiology, University of Colorado Denver School of Medicine, Denver, CO, United StatesDepartment of Radiology & Biomedical Imaging, University of California San Francisco, San Francisco, CA, United StatesDepartment of Radiology & Biomedical Imaging, University of California San Francisco, San Francisco, CA, United StatesDepartment of Radiology & Biomedical Imaging, University of California San Francisco, San Francisco, CA, United States; Corresponding author at: Department of Radiology & Biomedical Imaging, Division of Interventional Neuroradiology, University of California San Francisco, 505 Parnassus Avenue, L-351, San Francisco, CA 94143-0628, United States.Central venous stenosis in hemodialysis patients rarely causes venous hypertension and intracranial hemorrhage. A 54 year-old male with right arm arteriovenous fistula was transferred to our institution in a comatose state following right parietal venous infarction. Fistulography showed right brachiocephalic vein (BCV) occlusion with reflux into the right transverse sinus and obstruction of left internal jugular vein outflow due to the styloid process. Balloon venoplasty of the right BCV occlusion failed to improve the patient’s status because of the delayed diagnosis. Headaches and neurologic symptoms in hemodialysis patients can herald intracranial hypertension due to central venous occlusion and needs prompt assessment with fistulography.http://www.sciencedirect.com/science/article/pii/S2214751920306423Intracranial hemorrhageIntracranial venous hypertensionCentral venous occlusion |
| spellingShingle | Mohammed H. Mirza Adam Schwertner Ryan Kohlbrenner Christopher F. Dowd Kazim H. Narsinh Intracranial hemorrhage due to central venous occlusion from hemodialysis access: A case report Interdisciplinary Neurosurgery Intracranial hemorrhage Intracranial venous hypertension Central venous occlusion |
| title | Intracranial hemorrhage due to central venous occlusion from hemodialysis access: A case report |
| title_full | Intracranial hemorrhage due to central venous occlusion from hemodialysis access: A case report |
| title_fullStr | Intracranial hemorrhage due to central venous occlusion from hemodialysis access: A case report |
| title_full_unstemmed | Intracranial hemorrhage due to central venous occlusion from hemodialysis access: A case report |
| title_short | Intracranial hemorrhage due to central venous occlusion from hemodialysis access: A case report |
| title_sort | intracranial hemorrhage due to central venous occlusion from hemodialysis access a case report |
| topic | Intracranial hemorrhage Intracranial venous hypertension Central venous occlusion |
| url | http://www.sciencedirect.com/science/article/pii/S2214751920306423 |
| work_keys_str_mv | AT mohammedhmirza intracranialhemorrhageduetocentralvenousocclusionfromhemodialysisaccessacasereport AT adamschwertner intracranialhemorrhageduetocentralvenousocclusionfromhemodialysisaccessacasereport AT ryankohlbrenner intracranialhemorrhageduetocentralvenousocclusionfromhemodialysisaccessacasereport AT christopherfdowd intracranialhemorrhageduetocentralvenousocclusionfromhemodialysisaccessacasereport AT kazimhnarsinh intracranialhemorrhageduetocentralvenousocclusionfromhemodialysisaccessacasereport |