Neurologic and ophthalmologic complications of vascular access in a hemodialysis patient

Roxana Cleper, Nitza Goldenberg-Cohen, Liora Kornreich, Irit Krause, Miriam Davidovits

Research output: Contribution to journalArticlepeer-review

Abstract

Patients on long-term hemodialysis undergo multiple interventions, including insertion of central catheters and arteriovenous anastomoses for creation of vascular access. The need for high-flow vessels to maintain hemodialysis efficiency leads to wear on the central veins and consequent stenosis and occlusion. In addition to local signs of impaired venous drainage, abnormal venous flow patterns involving the upper chest, face, and central nervous system might develop. We describe the first pediatric case of devastating intracranial hypertension presenting with visual loss in the eye contralateral to a high-flow vascular access in a patient on long-term hemodialysis. The literature on this rare complication of hemodialysis is reviewed.

Original languageEnglish
Pages (from-to)1377-1382
Number of pages6
JournalPediatric Nephrology
Volume22
Issue number9
DOIs
StatePublished - Sep 2007

Keywords

  • Cerebral venous infarction
  • Hemodialysis
  • Intracranial hypertension
  • Papilledema
  • Vascular access (high-flow)
  • Visual loss

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