Leukoencephalopathy Associated with Dialysis Disequilibrium Syndrome
نویسندگان
چکیده
منابع مشابه
Dialysis Disequilibrium Syndrome
A aggressive dialysis in a grossly azotemic patient, especially one with severe metabolic acidosis, can lead to dialysis disequilibrium syndrome (DDS). Mild forms present as nausea, vomiting, restlessness, and headache. Severe manifestations include seizures, obtundation, coma, and even death. This clinical picture is caused by cerebral edema induced by one or more of the following mechanisms:
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Dialysis disequilibrium syndrome (DDS) is a central nervous system disorder, usually occurs in patients during hemodialysis (HD) or within 24 hours of HD. DDS was first described by Kennedy et al. in 1962. 11 If a critically ill patient on HD develops severe sepsis and septic shock with multiple organ failure (MOF), the adverse effect of HD on the brain is likely to be amplified, which may pred...
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A 62-year-old female patient with metastatic renal cell carcinoma under third-line treatment with pazopanib for 8 weeks suddenly developed severe headaches, grand mal seizures and paresis of the left arm in combination with gait instability as well as nausea and vomiting during her vacation abroad. The emergency physician measured systolic blood pressure values over 300 mm Hg and suspected a st...
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Renal insufficiency has many protean effects on the central nervous system. Early symptoms such as fatigue, clumsiness, and impaired concentration may progress to hallucinations, agitation, disorientation and coma if the renal insufficiency is untreated. The pathophysiology of these changes, due to uraemic encephalopathy are thought to be mediated by impaired neurotransmission (Burn & Bates, 19...
متن کاملDialysis Disequilibrium Syndrome: The Changes of Intracranial Pressure
Dialysis Disequilibrium Syndrome (DDS) is a rare but well-known serious complication of dialysis [1]. A clinical deteriorated neurological symptom due to cerebral edema after hemodialysis is defined as the dialysis disequilibrium syndrome, which is similar to symptom that occurs with increased Intracranial Pressure (ICP) [2]. However, the direct evidence of increased ICP is rarely described in ...
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ژورنال
عنوان ژورنال: Renal Failure
سال: 2007
ISSN: 0886-022X,1525-6049
DOI: 10.1080/08860220701392306