Cerebral Hyperperfusion Syndrome after Surgical Elimination of an Iatrogenic Carotid Jugular Fistula Lasting 3 Weeks Case Report

Khalid Abdel Aziz Mowafy*, Mosaad Abdelhamed Soliman, Mohamed Kamel Farag, Mohamed Emadeldin and Nshaat A Elsaadany

Department of Vascular and Endovascular Surgery, Mansoura College of Medicine, Mansoura University, Egypt

^*Correspondance to: Khalid Abdel Aziz Mowafy 

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Abstract:

Background: Carotid jugular fistula is not a common complication of Hemodialysis access that
often requires surgical repair. Cerebral hyperperfusion syndrome could happen after long standing
carotid lesion.
Case Report: We report a case of an arteriovenous fistula that presented as dizziness and headache
following a trial of jugular vein catheterization. The surgical therapy was accomplished but the
patient developed major neurological deficit effects on the third day postoperative, with normal
laboratory and imaging investigation; CT brain and color coated duplex ultrasonography on the
carotid system.
Conclusion: Carotid jugular fistula is a rare complication of IJV catheterization. Cerebral
hyperperfusion syndrome could happen after CJF elimination whatever its duration that can be
reversible with early recognition and proper management.

Keywords:

Carotid jugular fistula; Catheter; Complications; Fistula

Cite the Article:

Aziz Mowafy KA, Soliman MA, Farag MK, Emadeldin M, Elsaadany NA. Cerebral Hyperperfusion Syndrome after Surgical Elimination of an Iatrogenic Carotid Jugular Fistula Lasting 3 Weeks Case Report. World J Surg Surgical Res. 2020; 3: 1221..