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血液透析患者中心静脉狭窄血管成形术后脑静脉高压缓解:一例报告

Resolved Cerebral Venous Hypertension after Angioplasty of Central Venous Stenosis in a Hemodialysis Patient: A Case Report.

作者信息

Kang Heemin, Park Sung-Tae

出版信息

Taehan Yongsang Uihakhoe Chi. 2022 Jan;83(1):206-211. doi: 10.3348/jksr.2021.0032. Epub 2021 Sep 27.

DOI:10.3348/jksr.2021.0032
PMID:36237346
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9238213/
Abstract

Stenosis of the central veins is a common complication in hemodialysis patients. However, cerebral venous hypertension and neurological symptoms caused by central vein stenosis are relatively rare. We present a rare case of cerebral venous hypertension in a 63-year-old male who showed venous reflux into the dural sinuses due to central venous stenosis on time-of-flight MR angiography. After management for central venous stenosis, the venous reflux disappeared.

摘要

中心静脉狭窄是血液透析患者常见的并发症。然而,由中心静脉狭窄引起的脑静脉高压和神经症状相对少见。我们报告了一例63岁男性脑静脉高压的罕见病例,该患者在时间飞跃磁共振血管造影上显示因中心静脉狭窄导致静脉血逆流至硬脑膜窦。在对中心静脉狭窄进行处理后,静脉血逆流消失。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/481e/9238213/035145336582/jksr-83-206-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/481e/9238213/035145336582/jksr-83-206-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/481e/9238213/035145336582/jksr-83-206-g001.jpg

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本文引用的文献

1
Neurological Symptoms Due to Intracranial Venous Congestion in a Hemodialysis Patient With Arteriovenous Shunted Flow.动静脉分流的血液透析患者因颅内静脉充血导致的神经症状
Kidney Int Rep. 2020 Aug 13;5(11):2097-2101. doi: 10.1016/j.ekir.2020.08.007. eCollection 2020 Nov.
2
Central venous disease in hemodialysis patients.血液透析患者的中心静脉疾病
Kidney Res Clin Pract. 2019 Sep 30;38(3):309-317. doi: 10.23876/j.krcp.19.025.
3
Symptomatic jugular venous reflux with dilatation of the superior ophthalmic vein mimicking cavernous dural arteriovenous fistula.
伴有眼上静脉扩张的症状性颈静脉反流,酷似海绵窦硬脑膜动静脉瘘。
Radiol Case Rep. 2019 Jul 18;14(9):1167-1170. doi: 10.1016/j.radcr.2019.06.027. eCollection 2019 Sep.
4
Obstruction of Venous Drainage Linked to Transient Global Amnesia.与短暂性全面性遗忘症相关的静脉引流受阻
PLoS One. 2015 Jul 14;10(7):e0132893. doi: 10.1371/journal.pone.0132893. eCollection 2015.
5
MRI and MR angiography findings to differentiate jugular venous reflux from cavernous dural arteriovenous fistula.MRI 和 MR 血管造影在颈静脉反流和海绵窦硬脑膜动静脉瘘中的鉴别诊断。
AJR Am J Roentgenol. 2014 Apr;202(4):839-46. doi: 10.2214/AJR.13.11048.
6
Neurological sequelae from brachiocephalic vein stenosis.头臂静脉狭窄所致的神经后遗症。
J Neurosurg. 2013 May;118(5):1058-62. doi: 10.3171/2013.1.JNS121529. Epub 2013 Feb 1.
7
Severe venous congestive encephalopathy secondary to a dialysis arteriovenous graft.继发于透析动静脉瘘的严重静脉淤血性脑病。
J Neurointerv Surg. 2013 Sep 1;5(5):e37. doi: 10.1136/neurintsurg-2012-010355. Epub 2012 Aug 17.
8
Cerebral hemorrhage due to internal jugular vein stenosis in a hemodialysis patient.血液透析患者的颈内静脉狭窄致脑出血。
Clin Exp Nephrol. 2012 Apr;16(2):345-9. doi: 10.1007/s10157-011-0548-4. Epub 2011 Oct 26.
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Cerebral venous hypertension and blindness: a reversible complication.脑静脉高压与失明:一种可逆性并发症。
J Vasc Surg. 2005 Oct;42(4):792-5. doi: 10.1016/j.jvs.2005.05.060.