Presentamos un caso clínico único de encefalopatía congestiva venosa en el contexto de una fístula arteriovenosa cerebral con empeoramiento clínico secundario a hiperdrenaje valvular.
El registro continuo de la presión intracraneal al que fue sometido al paciente, los diferentes cambios de presión de la válvula ajustable que se realizaron y la detallada descripción clínica que se lleva a cabo nos ofrecen suficientes datos para comprender que este caso aporta un importante conocimiento fisiopatológico a una entidad poco conocida.
We present a unique clinical case of venous congestive encephalopathy in the context of a cerebral arteriovenous fistula with clinical worsening secondary to valvular overdrainage.
ICP monitoring, the different pressure settings of the programable CSF shunt and the detailed clinical description that is carried out offer us enough data to understand that this case provides important pathophysiological knowledge to a little-known disease.
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