Venous cerebral infarction in a patient with peripheral

J Stroke Cerebrovasc Dis · Jul 2011

Case Reports

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.

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- Haruo Nishijima, Masahiko Tomiyama, Rie Haga, Tatsuya Ueno, Yasuo Miki, Akira Arai, Tamaki Kimura, Chieko Suzuki, Jin-ichi Nunomura, Shinya Kakehata, Toshiaki Kawaguchi, and Masayuki Baba.
- Department of Neurology, Aomori Prefectural Central Hospital, Aomori City, Japan. hnishijima-tky@umin.ac.jp
- J Stroke Cerebrovasc Dis. 2011 Jul 1;20(4):381-3.
AbstractIntracranial 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.Copyright © 2011 National Stroke Association. Published by Elsevier Inc. All rights reserved.

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Venous cerebral infarction in a patient with peripheral hemodialysis shunt and occlusion of the left brachiocephalic vein.

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