A case of paradoxical cerebral infarction by spraying thrombus in the catheter for dialysis
نویسندگان
چکیده
Background: The authors herein report a case of paradoxical cerebral infarction by spraying thrombus in the catheter for dialysis. The clinical manifestations of paradoxical cerebral infarction are nonspecific, and the diagnosis is sometimes difficult to establish. Patients with paradoxical cerebral infarction may present with neurologic abnormalities or features suggesting arterial embolism. And paradoxical cerebral infarction has been associated with foramen ovale (PFO). Case presentation: A multi-lumen catheter for dialysis was inserted into the right internal jugular vein. After injecting heparin-added physiological saline solution to confirm the patency of the catheter, paradoxical cerebral infarction developed. Detailed examination revealed PFO. PFO patent is a common condition that affects one in four people. Conclusion: The size of multi-lumen catheter for dialysis is relatively large. We learned from this case that the use of multi-lumen catheter poses a potential risk of paradoxical infarction. Clinicians should be aware that central venous catheter is a risk factor for paradoxical cerebral infarction.
منابع مشابه
Supportive treatment of delayed perforated colon due to peritoneal dialysis catheterization
Background: One of uncommon complications in patients with peritoneal catheter is colon rupture which usually occurs during catheter insertion. In this paper, we present a case of delayed perforated colon following insertion of peritoneal catheter. Case presentation: A 37-year-old man was suffering from chronic renal failure (CRF). Nine months after peritoneal catheterization, peritoneal dialy...
متن کاملThe Frequency of Cerebral Microembolism in Acute Myocardial Infarction
ABSTRACT Introduction: Stroke is more common in patients with cerebral microembolisms. Frequency of cerebral microembolisms (high intensity transient signals, HITS) in acute myocardial infarction has been reported about 17%. The factors that influence on microembolism after myocardial infarction (MI) are not definitive. Type of MI, Ejection fraction, Hx of Streptokinase is the factors that were...
متن کاملComparison of percutaneous versus open surgical techniques for placement of peritoneal dialysis catheter in children: A randomized clinical trial
Background: This research compares the outcomes of percutaneous technique and open surgical peritoneal dialysis catheter placement in children. Methods: In this randomized controlled trial, between 2010 and 2011,a total of 35 pediatric uremic patients were enrolled and randomized into two study groups. Follow up data included duration of operation (minute), duration of hospitalization (days...
متن کاملCase report Paradoxical embolism in a boy with cystic fibrosis and a stroke
An 11 year old boy with cystic fibrosis suffered a stroke, producing right sided weakness. Four years previously a totally implantable venous access device (Port-aCath) had been inserted. Magnetic resonance angiography revealed a filling defect in the left middle cerebral artery. Transoesophageal echocardiography demonstrated a thrombus attached to the tip of the Port-a-Cath and also the presen...
متن کاملThe Acute Temporary Peritoneal Dialysis in Neonates: A Five-Year Experience
Background: The aim of this prospective study was to evaluate the characteristics of patients, treated by acute peritoneal dialysis (PD). We also assessed the indications for PD, PD-associated complications and neonatal outcomes in our patients. Methods: During five years, 30 term newborns underwent temporary cycling PD. The procedure was performed by applying the manual technique. A straight ...
متن کامل