Dilatation of Superior Ophthalmic Vein and Visual Disturbance by Central Venous Stenosis: A Case Mimicking Cavernous Sinus Dural Arteriovenous Fistula

Central venous stenosis is a relatively common complication in hemodialysis patients; however, jugular venous reflux (JVR) and increased intracranial pressure are rare, and associated progressive visual disturbance was reported in only a few cases. Here, we report a case of JVR with visual distur...

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Autores principales: Young Hun Jeon, Kyung Sik Yi, Chi Hoon Choi, Yook Kim, Yeong Tae Park
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KO
Publicado: The Korean Society of Radiology 2021
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Acceso en línea:https://doaj.org/article/07eb5de9b92c433d8e9f144afe005cd7
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spelling oai:doaj.org-article:07eb5de9b92c433d8e9f144afe005cd72021-11-29T11:22:29ZDilatation of Superior Ophthalmic Vein and Visual Disturbance by Central Venous Stenosis: A Case Mimicking Cavernous Sinus Dural Arteriovenous Fistula2288-2928https://doaj.org/article/07eb5de9b92c433d8e9f144afe005cd72021-11-01T00:00:00Zhttps://doi.org/10.3348/jksr.2021.0059https://doaj.org/toc/2288-2928Central venous stenosis is a relatively common complication in hemodialysis patients; however, jugular venous reflux (JVR) and increased intracranial pressure are rare, and associated progressive visual disturbance was reported in only a few cases. Here, we report a case of JVR with visual disturbance and increased intracranial pressure. Notably, the MRI was accompanied by a dilatation of the superior ophthalmic vein, which was mistaken for a cavernous sinus dural arteriovenous fistula (CSdAVF). The patient had JVR on time-of-flight MR angiography (TOF-MRA) and severe stenosis of the left brachiocephalic vein on conventional angiography. After balloon angioplasty for central venous stenosis, he was discharged after improvement of his visual disturbance. Although JVR due to central venous stenosis and CSdAVF might show similar symptoms, treatment plans are different. Therefore, it is important to distinguish radiologically based on a thorough review of MRI and TOF-MRA and confirm the central venous stenosis on cerebral angiography for the accurate diagnosis.Young Hun JeonKyung Sik YiChi Hoon ChoiYook KimYeong Tae ParkThe Korean Society of Radiologyarticlebrachiocephalic veindural arteriovenous fistulamagnetic resonance imagingpercutaneous transluminal angioplastyjugular veinsdiagnostic imagingMedical physics. Medical radiology. Nuclear medicineR895-920ENKO대한영상의학회지, Vol 82, Iss 6, Pp 1619-1627 (2021)
institution DOAJ
collection DOAJ
language EN
KO
topic brachiocephalic vein
dural arteriovenous fistula
magnetic resonance imaging
percutaneous transluminal angioplasty
jugular veins
diagnostic imaging
Medical physics. Medical radiology. Nuclear medicine
R895-920
spellingShingle brachiocephalic vein
dural arteriovenous fistula
magnetic resonance imaging
percutaneous transluminal angioplasty
jugular veins
diagnostic imaging
Medical physics. Medical radiology. Nuclear medicine
R895-920
Young Hun Jeon
Kyung Sik Yi
Chi Hoon Choi
Yook Kim
Yeong Tae Park
Dilatation of Superior Ophthalmic Vein and Visual Disturbance by Central Venous Stenosis: A Case Mimicking Cavernous Sinus Dural Arteriovenous Fistula
description Central venous stenosis is a relatively common complication in hemodialysis patients; however, jugular venous reflux (JVR) and increased intracranial pressure are rare, and associated progressive visual disturbance was reported in only a few cases. Here, we report a case of JVR with visual disturbance and increased intracranial pressure. Notably, the MRI was accompanied by a dilatation of the superior ophthalmic vein, which was mistaken for a cavernous sinus dural arteriovenous fistula (CSdAVF). The patient had JVR on time-of-flight MR angiography (TOF-MRA) and severe stenosis of the left brachiocephalic vein on conventional angiography. After balloon angioplasty for central venous stenosis, he was discharged after improvement of his visual disturbance. Although JVR due to central venous stenosis and CSdAVF might show similar symptoms, treatment plans are different. Therefore, it is important to distinguish radiologically based on a thorough review of MRI and TOF-MRA and confirm the central venous stenosis on cerebral angiography for the accurate diagnosis.
format article
author Young Hun Jeon
Kyung Sik Yi
Chi Hoon Choi
Yook Kim
Yeong Tae Park
author_facet Young Hun Jeon
Kyung Sik Yi
Chi Hoon Choi
Yook Kim
Yeong Tae Park
author_sort Young Hun Jeon
title Dilatation of Superior Ophthalmic Vein and Visual Disturbance by Central Venous Stenosis: A Case Mimicking Cavernous Sinus Dural Arteriovenous Fistula
title_short Dilatation of Superior Ophthalmic Vein and Visual Disturbance by Central Venous Stenosis: A Case Mimicking Cavernous Sinus Dural Arteriovenous Fistula
title_full Dilatation of Superior Ophthalmic Vein and Visual Disturbance by Central Venous Stenosis: A Case Mimicking Cavernous Sinus Dural Arteriovenous Fistula
title_fullStr Dilatation of Superior Ophthalmic Vein and Visual Disturbance by Central Venous Stenosis: A Case Mimicking Cavernous Sinus Dural Arteriovenous Fistula
title_full_unstemmed Dilatation of Superior Ophthalmic Vein and Visual Disturbance by Central Venous Stenosis: A Case Mimicking Cavernous Sinus Dural Arteriovenous Fistula
title_sort dilatation of superior ophthalmic vein and visual disturbance by central venous stenosis: a case mimicking cavernous sinus dural arteriovenous fistula
publisher The Korean Society of Radiology
publishDate 2021
url https://doaj.org/article/07eb5de9b92c433d8e9f144afe005cd7
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