Dialysis Disequilibrium Syndrome
نویسندگان
چکیده
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:
منابع مشابه
Dialysis 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 ...
متن کاملDialysis disequilibrium syndrome induced by neoplastic meningitis in a patient receiving maintenance hemodialysis
BACKGROUND Dialysis disequilibrium syndrome is characterized by neurological symptoms resulting from cerebral edema, which occurs as a consequence of hemodialysis. Dialysis disequilibrium syndrome most often occurs in patients who have just started hemodialysis, during hemodialysis, or soon after hemodialysis; although it may also occur in patients who are under maintenance hemodialysis with pr...
متن کاملDialysis Disequilibrium Syndrome: A Neurological Manifestation of Haemodialysis
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 کاملSepsis and Dialysis Disequilibrium Syndrome
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...
متن کاملDialysis disequilibrium syndrome occurring during continuous renal replacement therapy
The dialysis disequilibrium syndrome (DDS) is characterized by progressive neurological symptoms and signs attributable to cerebral edema that occurs due to fluid shifts into the brain following a relatively rapid decrease in serum osmolality during hemodialysis (HD). Since continuous renal replacement therapy (CRRT) is less efficient at solute clearance than intermittent HD, it seems logical t...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره شماره
صفحات -
تاریخ انتشار 2011