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Vol. 35. Issue 4.
Pages 210-214 (July - August 2024)
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Vol. 35. Issue 4.
Pages 210-214 (July - August 2024)
Case Report
Venous congestive encephalopathy secondary to arteriovenous fistula aggravated by cerebrospinal fluid shunt
Encefalopatía congestiva venosa secundaria a fístula arteriovenosa agravada por derivación de líquido cefalorraquídeo
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Juan Casado Pellejero
Corresponding author
jcasado@salud.aragon.es

Corresponding author.
, Silvia Vázquez Sufuentes, Laura Beatriz López López, Rosario Barrena Caballo
Servicio de Neurocirugía, Hospital Universitario Miguel Servet, Zaragoza, Spain
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Table 1. Clinical course of the patient from visual deterioration to diagnosis of AVF. #: events shown in Fig. 1.
Abstract

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.

Keywords:
Intracranial hypertension
Arteriovenous malformation
Venous congestion
Overdrainage
Encephalophaty
Abbreviations:
HTN
DLP
ICU
MRI
ICHT
IIH
VPS
ICP
GCS
CT
LAB/HAB
EEG
BT
LPS
AVF
TSS
RTS
SSS
ELD
DC
mRS
LP
CSF
VOGM
Resumen

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.

Palabras clave:
Hipertensión intracraneal
Malformación arteriovemosa
Congestión venosa
Hiperdrenaje
Encefalopatía

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