Cargando…

Cerebral hemorrhage due to intracranial venous reflux associated with left brachiocephalic vein occlusion in a hemodialysis patient

BACKGROUND: Although central venous occlusion is sometimes seen in hemodialysis (HD) patients, neurological symptoms due to intracranial venous reflux (IVR) are extremely rare. CASE DESCRIPTION: We present a case of a 73-year-old woman with cerebral hemorrhage due to IVR associated with HD. She pres...

Descripción completa

Detalles Bibliográficos
Autores principales: Sasaki, Nozomi, Hiramatsu, Taku, Hasegawa, Yoshihito, Sawada, Motoshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10070300/
https://www.ncbi.nlm.nih.gov/pubmed/37025544
http://dx.doi.org/10.25259/SNI_108_2023
_version_ 1785018996698906624
author Sasaki, Nozomi
Hiramatsu, Taku
Hasegawa, Yoshihito
Sawada, Motoshi
author_facet Sasaki, Nozomi
Hiramatsu, Taku
Hasegawa, Yoshihito
Sawada, Motoshi
author_sort Sasaki, Nozomi
collection PubMed
description BACKGROUND: Although central venous occlusion is sometimes seen in hemodialysis (HD) patients, neurological symptoms due to intracranial venous reflux (IVR) are extremely rare. CASE DESCRIPTION: We present a case of a 73-year-old woman with cerebral hemorrhage due to IVR associated with HD. She presented with lightheadedness and alexia, and was diagnosed with subcortical hemorrhage. Venography through the arteriovenous graft showed occlusion of the left brachiocephalic vein (BCV) and IVR through the internal jugular vein (IJV). It is extremely rare that IVR occurs and causes neurological symptoms. This is because that there is the presence of a valve in the IJV and the communication between the right and left veins through the anterior jugular vein and thyroid vein. Percutaneous transluminal angioplasty for the left obstructive BCV was performed, but the obstructive lesion was only slightly improved. Hence, shunt ligation was performed. CONCLUSION: When IVR is found in HD patients, central veins should be confirmed. Early diagnosis and therapeutic intervention are desirable when neurological symptoms are present.
format Online
Article
Text
id pubmed-10070300
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Scientific Scholar
record_format MEDLINE/PubMed
spelling pubmed-100703002023-04-05 Cerebral hemorrhage due to intracranial venous reflux associated with left brachiocephalic vein occlusion in a hemodialysis patient Sasaki, Nozomi Hiramatsu, Taku Hasegawa, Yoshihito Sawada, Motoshi Surg Neurol Int Case Report BACKGROUND: Although central venous occlusion is sometimes seen in hemodialysis (HD) patients, neurological symptoms due to intracranial venous reflux (IVR) are extremely rare. CASE DESCRIPTION: We present a case of a 73-year-old woman with cerebral hemorrhage due to IVR associated with HD. She presented with lightheadedness and alexia, and was diagnosed with subcortical hemorrhage. Venography through the arteriovenous graft showed occlusion of the left brachiocephalic vein (BCV) and IVR through the internal jugular vein (IJV). It is extremely rare that IVR occurs and causes neurological symptoms. This is because that there is the presence of a valve in the IJV and the communication between the right and left veins through the anterior jugular vein and thyroid vein. Percutaneous transluminal angioplasty for the left obstructive BCV was performed, but the obstructive lesion was only slightly improved. Hence, shunt ligation was performed. CONCLUSION: When IVR is found in HD patients, central veins should be confirmed. Early diagnosis and therapeutic intervention are desirable when neurological symptoms are present. Scientific Scholar 2023-03-03 /pmc/articles/PMC10070300/ /pubmed/37025544 http://dx.doi.org/10.25259/SNI_108_2023 Text en Copyright: © 2023 Surgical Neurology International https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Sasaki, Nozomi
Hiramatsu, Taku
Hasegawa, Yoshihito
Sawada, Motoshi
Cerebral hemorrhage due to intracranial venous reflux associated with left brachiocephalic vein occlusion in a hemodialysis patient
title Cerebral hemorrhage due to intracranial venous reflux associated with left brachiocephalic vein occlusion in a hemodialysis patient
title_full Cerebral hemorrhage due to intracranial venous reflux associated with left brachiocephalic vein occlusion in a hemodialysis patient
title_fullStr Cerebral hemorrhage due to intracranial venous reflux associated with left brachiocephalic vein occlusion in a hemodialysis patient
title_full_unstemmed Cerebral hemorrhage due to intracranial venous reflux associated with left brachiocephalic vein occlusion in a hemodialysis patient
title_short Cerebral hemorrhage due to intracranial venous reflux associated with left brachiocephalic vein occlusion in a hemodialysis patient
title_sort cerebral hemorrhage due to intracranial venous reflux associated with left brachiocephalic vein occlusion in a hemodialysis patient
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10070300/
https://www.ncbi.nlm.nih.gov/pubmed/37025544
http://dx.doi.org/10.25259/SNI_108_2023
work_keys_str_mv AT sasakinozomi cerebralhemorrhageduetointracranialvenousrefluxassociatedwithleftbrachiocephalicveinocclusioninahemodialysispatient
AT hiramatsutaku cerebralhemorrhageduetointracranialvenousrefluxassociatedwithleftbrachiocephalicveinocclusioninahemodialysispatient
AT hasegawayoshihito cerebralhemorrhageduetointracranialvenousrefluxassociatedwithleftbrachiocephalicveinocclusioninahemodialysispatient
AT sawadamotoshi cerebralhemorrhageduetointracranialvenousrefluxassociatedwithleftbrachiocephalicveinocclusioninahemodialysispatient