Venous congestive encephalopathy is a rare complication of central venous occlusion in hemodialysis patients with upper extremity dialysis created shunts. We describe the clinical presentation and endovascular management of an end-stage renal disease patient with a left upper extremity arteriovenous graft who developed intracranial venous hypertension, left-sided subdural and subarachnoid intracranial hemorrhage, and left-sided cerebral infarcts related to a left brachiocephalic vein occlusion.

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