Related Experiment Video

Updated: Oct 5, 2025

Assessment of Vascular Function in Patients With Chronic Kidney Disease
08:50

Assessment of Vascular Function in Patients With Chronic Kidney Disease

Published on: June 16, 2014

16.4K

Disc Oedema in A Patient with Chronic Kidney Disease: A Diagnostic Conundrum

Jagadeesh Sutraye1, Mohan Kannam1, Srinivasa Perraju Ponnapalli2

  • 1Academy of Eye Care Education, Child Sight Institute, Nimmagadda Prasad Children's Eye Care Centre, L V Prasad Eye Institute, Visakhapatnam, India.

Neuro-Ophthalmology (Aeolus Press)
|January 31, 2022
PubMed

Insights

This case study shows how thrombosis in the right internal jugular vein (IJV) can cause increased intracranial pressure and papilledema. Treatment with anticoagulants and carbonic anhydrase inhibitors resolved the patient's symptoms.

Area of Science:

  • Neurology
  • Nephrology
  • Vascular Medicine

Background:

  • Idiopathic intracranial hypertension and cerebral sinus venous thrombosis are common causes of papilledema.
  • Internal jugular vein (IJV) thrombosis is a rare cause of increased intracranial pressure.
  • Chronic kidney disease patients undergoing dialysis are at risk for venous thrombosis.

Observation:

  • A 47-year-old woman with chronic kidney disease presented with headache and blurred vision.
  • Bilateral papilledema was noted on examination.
  • Magnetic resonance venography revealed right IJV thrombosis and signs of raised intracranial pressure.

Findings:

  • The patient's symptoms and papilledema resolved with carbonic anhydrase inhibitors and anticoagulants.
  • This case highlights an uncommon presentation of papilledema secondary to IJV thrombosis.
  • Hypoplastic left transverse sinus may have contributed to the intracranial pressure.

Implications:

  • Internal jugular vein thrombosis should be considered in the differential diagnosis of papilledema, especially in patients with risk factors.
  • Early diagnosis and treatment of IJV thrombosis can prevent vision loss and other neurological complications.
  • Further research is needed to understand the pathogenesis of papilledema in IJV thrombosis.

Keywords:
Internal jugular veinchronic kidney diseasehaemodialysisthrombosis

More Related Videos

5/6 Nephrectomy Using Sharp Bipolectomy Via Midline Laparotomy in Rats05:34

5/6 Nephrectomy Using Sharp Bipolectomy Via Midline Laparotomy in Rats

Published on: April 4, 2025

918
A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice06:27

A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice

Published on: July 20, 2022

2.8K

Related Concept Videos

Chronic Kidney Disease IV: Nursing Management01:18

Chronic Kidney Disease IV: Nursing Management

Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care​.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of...
75
Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
96
Chronic Kidney Disease II: Clinical Manifestations01:24

Chronic Kidney Disease II: Clinical Manifestations

Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
136
Chronic Kidney Disease I: Introduction01:25

Chronic Kidney Disease I: Introduction

Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
101
Acute Kidney Injury VI: Nursing Management01:22

Acute Kidney Injury VI: Nursing Management

Acute Kidney Injury (AKI) results in an inability to maintain fluid, electrolyte, and acid-base balance. Effective nursing management is critical in improving patient outcomes and includes comprehensive patient assessment and targeted interventions.Comprehensive Patient AssessmentA detailed history collection is essential, focusing on any recent infections, nephrotoxic medication use, or chronic conditions such as hypertension and diabetes that may contribute to AKI. During the physical...
100
Acute Kidney Injury IV: Diagnostic Studies and Prevention01:30

Acute Kidney Injury IV: Diagnostic Studies and Prevention

Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
75