Document Detail

Bilateral ophthalmoplegia and exophthalmos complicating central hemodialysis catheter placement.
MedLine Citation:
PMID:  10213657     Owner:  NLM     Status:  MEDLINE    
We describe a 58-year-old woman who presented with bilateral ophthalmoplegia, exophthalmos, and headache and was found to have retrograde internal jugular vein flow secondary to a high-grade obstruction of the ipsilateral brachiocephalic vein from a previous hemodialysis catheter placement. The patient had also a high-flow dialysis graft in the ipsilateral arm. The cranial and extracranial venous system congestion resolved, and the signs disappeared soon after a balloon angioplasty and stent placement at the level of the obstruction.
P N Varelas; T E Bertorini; H Halford
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of kidney diseases : the official journal of the National Kidney Foundation     Volume:  33     ISSN:  1523-6838     ISO Abbreviation:  Am. J. Kidney Dis.     Publication Date:  1999 May 
Date Detail:
Created Date:  1999-05-07     Completed Date:  1999-05-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8110075     Medline TA:  Am J Kidney Dis     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  966-9     Citation Subset:  IM    
Departments of Neurology and Radiology, Methodist Hospital Central, Memphis, TN, USA.
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MeSH Terms
Angioplasty, Balloon
Brachiocephalic Veins / surgery
Catheterization, Central Venous / adverse effects*
Constriction, Pathologic / complications
Exophthalmos / etiology*
Jugular Veins / pathology
Magnetic Resonance Imaging
Middle Aged
Ophthalmoplegia / etiology*
Peripheral Vascular Diseases / complications,  diagnosis,  surgery
Renal Dialysis*

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