J Korean Neurol Assoc.  2019 Feb;37(1):47-50. 10.17340/jkna.2019.1.7.

Cerebral Venous Infarction Due to Brachial Artery-Jugular Vein Jump Graft in a Hemodialysis Patient

Affiliations
  • 1Department of Neurology, Hallym University College of Medicine, Seoul, Korea. ykh1030@hallym.or.kr
  • 2Department of Nephrology, Hallym University Sacred Heart Hospital, Anyang, Korea.

Abstract

Hemodialysis patients rarely experience neurologic symptoms related to their vascular accesses. However, occlusion of venous drainage induces extreme venous hypertension and in rare cases cause intracranial venous congestion. We report a patient with cerebral venous infarction resulting from reflux flow into the cranium induced by an arteriovenous jump graft to the internal jugular vein. Clinicians should take into account the possibility of neurologic deficit related to intracranial venous hypertension in hemodialysis patients.

Keyword

Cerebral venous infarction; Arteriovenous fistula; Internal jugular vein flow inversion

MeSH Terms

Arteriovenous Fistula
Drainage
Humans
Hyperemia
Hypertension
Infarction*
Jugular Veins
Neurologic Manifestations
Renal Dialysis*
Skull
Transplants*
Veins*
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