Dialytic Approach in Hemodialysis (HD) Patients with Hydrocephalus
Journal Title: Biomedical Journal of Scientific & Technical Research (BJSTR) - Year 2019, Vol 15, Issue 4
Abstract
Cognitive dysfunction and neurological disturbances are common in Hemodialysis (HD) patients [1] and may be induced by chronic processes, acute events and a combination of both. Patients starting HD who develop acute neurologic disturbances, though measures to prevent the disequilibrium syndrome [2] were implemented, deserve special attention. Possible acute causes include ischemic and hemorrhagic strokes due to intra-dialytic hypotension, high blood pressure and/or anticoagulation on the background of the increased frequency and severity of diabetes mellitus, hypertension, atherosclerosis, arteriolosclerosis and atrial fibrillation in incident HD patients [3]. Falls, trauma, vascular disease, anticoagulation and polycystic kidney disease predispose to subdural and subarachnoid hematomas [4]. An additional acute cause for neurological symptoms, which is infrequent though reported to be more common in dialysis patients, is hydrocephalus [5]. Acute events at start of hemodialysis due to hydrocephalus may occur in patients with previous diagnosis of hydrocephalus or in previously undiagnosed patients
Authors and Affiliations
David Tovbin, Osama Darawshe
Keywords
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- EP ID EP590858
- DOI 10.26717/BJSTR.2019.15.002740
- Views 157
- Downloads 0
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