Venous Cerebral Infarction in a Patient With Peripheral Hemodialysis Shunt and Occlusion of the Left Brachiocephalic Vein

被引：14

作者：

Nishijima, Haruo ^{[1
]}

Tomiyama, Masahiko ^{[1
,4
]}

Haga, Rie ^{[1
]}

Ueno, Tatsuya ^{[1
]}

Miki, Yasuo ^{[1
]}

Arai, Akira ^{[1
,4
]}

Kimura, Tamaki ^{[1
]}

Suzuki, Chieko ^{[1
]}

Nunomura, Jin-ichi ^{[1
]}

Kakehata, Shinya ^{[2
]}

Kawaguchi, Toshiaki ^{[3
]}

Baba, Masayuki ^{[1
]}

机构：

[1] Aomori Prefectural Cent Hosp, Dept Neurol, Aomori 0308553, Japan

[2] Aomori Prefectural Cent Hosp, Dept Radiol, Aomori 0308553, Japan

[3] Aomori Prefectural Cent Hosp, Dept Urol, Aomori 0308553, Japan

[4] Hirosaki Univ, Grad Sch Med, Inst Brain Res, Dept Neurophysiol, Hirosaki, Aomori, Japan

来源：

JOURNAL OF STROKE & CEREBROVASCULAR DISEASES | 2011年 / 20卷 / 04期

关键词：

Reflux flow; jugular vein; hemodialysis; intracranial hypertension;

D O I：

10.1016/j.jstrokecerebrovasdis.2010.02.004

中图分类号：

Q189 [神经科学];

学科分类号：

071006 ;

摘要：

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.

引用

页码：381 / 383

页数：3

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