Polycystic Kidney Disease Associated with Cervical Arteriovenous Shunt and Bilateral Jugular Vein Occlusion.

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  • NISHIDA Takashi
    The Third Department of Internal Medicine, National Defense Medical College Department of Parasitology, National Defense Medical College
  • ISHIHARA Shoichiro
    Department of Neurosurgery, National Defense Medical College
  • KAJI Tatsumi
    Department of Radiology, National Defense Medical College
  • TAJIMA Shingo
    Department of Dermatology, National Defense Medical College
  • TANABE Hajime
    The Third Department of Internal Medicine, National Defense Medical College
  • MOTOYOSHI Kazuo
    The Third Department of Internal Medicine, National Defense Medical College
  • KAMAKURA Keiko
    The Third Department of Internal Medicine, National Defense Medical College

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Abstract

A 59-year-old man with abnormal vascular features (intracranial aneurysm, a cervical arteriovenous shunt, bilateral internal jugular vein occlusions, and left transverse sinus hypoplasia), as well as left optic atrophy was suspected to have familial polycystic kidney disease. The possibility of autosomal dominant polycystic kidney disease complicated by Ehlers-Danlos syndrome type IV due to the coexistence of vasculopathy and polycystic kidneys was considered. However, the negative results of a skin fibroblast culture rendered the diagnosis of Ehlers-Danlos syndrome type IV unlikely. The cause of left optic atrophy in our patient remains unclear although it was suspected to be a secondary consequence of papilledema, which was caused by intracranial hypertension.<br>(Internal Medicine 41: 1036-1038, 2002)

Journal

  • Internal Medicine

    Internal Medicine 41 (11), 1036-1038, 2002

    The Japanese Society of Internal Medicine

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