Skip to main content
Top
Published in: Pediatric Nephrology 10/2007

Open Access 01-10-2007 | Educational Feature

The central nervous system in childhood chronic kidney disease

Authors: Debbie S. Gipson, Peter J. Duquette, Phil F. Icard, Stephen R. Hooper

Published in: Pediatric Nephrology | Issue 10/2007

Login to get access

Abstract

Neurodevelopmental deficits in pediatric and adult survivors of childhood onset chronic kidney disease (CKD) have been documented for many years. This paper reviews the available literature on central nervous system involvement incurred in childhood CKD. The studies reviewed include recent work in neuroimaging, electrophysiology, and neuropsychology, along with commentary on school functioning and long-term outcomes. The paper concludes with suggestions for monitoring the neurodevelopmental status and pursuing appropriate early interventions for children with CKD.
Literature
1.
go back to reference Ferris ME, Gipson DS, Kimmel PL, Eggers PW (2006) Trends in treatment and outcomes of survival of adolescents initiating end-stage renal disease care in the United States of America. Pediatr Nephrol 21:1020–1026CrossRef Ferris ME, Gipson DS, Kimmel PL, Eggers PW (2006) Trends in treatment and outcomes of survival of adolescents initiating end-stage renal disease care in the United States of America. Pediatr Nephrol 21:1020–1026CrossRef
2.
go back to reference Bock GH, Conners CK, Ruley J, Samango-Sprouse CA, Conry JA, Weiss I, Eng G, Johnson EL, David CT (1989) Disturbances of brain maturation and neurodevelopment during chronic renal failure in infancy. J Pediatr 114:231–238CrossRefPubMed Bock GH, Conners CK, Ruley J, Samango-Sprouse CA, Conry JA, Weiss I, Eng G, Johnson EL, David CT (1989) Disturbances of brain maturation and neurodevelopment during chronic renal failure in infancy. J Pediatr 114:231–238CrossRefPubMed
3.
go back to reference Schnaper HW, Cole BR, Hodges FJ, Robson AM (1983) Cerebral cortical atrophy in pediatric patients with end-stage renal disease. Am J Kidney Dis 2:645–650CrossRefPubMed Schnaper HW, Cole BR, Hodges FJ, Robson AM (1983) Cerebral cortical atrophy in pediatric patients with end-stage renal disease. Am J Kidney Dis 2:645–650CrossRefPubMed
4.
go back to reference Elzouki A, Carroll J, Butinar D, Moosa A (1994) Improved neurological outcome in children with chronic renal disease from infancy. Pediatr Nephrol 8:205–210CrossRefPubMed Elzouki A, Carroll J, Butinar D, Moosa A (1994) Improved neurological outcome in children with chronic renal disease from infancy. Pediatr Nephrol 8:205–210CrossRefPubMed
5.
go back to reference Qvist E, Pihko H, Fagerudd P, Valanne L, Lamminranta S, Karikoski J, Sainio K, Ronnholm K, Jalanko H, Holmberg C (2002) Neurodevelopmental outcome in high-risk patients after renal transplantation in early childhood. Pediatr Transplant 6:53–62CrossRefPubMed Qvist E, Pihko H, Fagerudd P, Valanne L, Lamminranta S, Karikoski J, Sainio K, Ronnholm K, Jalanko H, Holmberg C (2002) Neurodevelopmental outcome in high-risk patients after renal transplantation in early childhood. Pediatr Transplant 6:53–62CrossRefPubMed
6.
go back to reference Steinberg A, Efrat R, Pomeranz A, Drukker A (1985) Computerized tomography of the brain in children with chronic renal failure. Int J Pediatr Nephrol 6:121–126PubMed Steinberg A, Efrat R, Pomeranz A, Drukker A (1985) Computerized tomography of the brain in children with chronic renal failure. Int J Pediatr Nephrol 6:121–126PubMed
7.
go back to reference Valanne L, Qvist E, Jalanko H, Holmberg C, Pihko H (2004) Neuroradiologic findings in children with renal transplantation under 5 years of age. Pediatr Transplant 8:44–51CrossRefPubMed Valanne L, Qvist E, Jalanko H, Holmberg C, Pihko H (2004) Neuroradiologic findings in children with renal transplantation under 5 years of age. Pediatr Transplant 8:44–51CrossRefPubMed
8.
go back to reference Nichols SL, Press GA, Schneider JA, Trauner DA (1990) Cortical atrophy and cognitive performance in infantile nephropathic cystinosis. Pediatr Neurol 6:379–381CrossRefPubMed Nichols SL, Press GA, Schneider JA, Trauner DA (1990) Cortical atrophy and cognitive performance in infantile nephropathic cystinosis. Pediatr Neurol 6:379–381CrossRefPubMed
9.
go back to reference Pueschel SM, Brem AS, Nittoli P (1992) Central nervous system and renal investigations in patients with Lowe syndrome. Childs Nerv Syst 8:45–48CrossRefPubMed Pueschel SM, Brem AS, Nittoli P (1992) Central nervous system and renal investigations in patients with Lowe syndrome. Childs Nerv Syst 8:45–48CrossRefPubMed
10.
go back to reference Hurkx W, Hulstijn D, Pasman J, Rotteveel J, Visco Y, Schroder C (1995) Evoked potentials in children with chronic renal failure, treated conservatively or by continuous ambulatory peritoneal dialysis. Pediatr Nephrol 9:325–328CrossRefPubMed Hurkx W, Hulstijn D, Pasman J, Rotteveel J, Visco Y, Schroder C (1995) Evoked potentials in children with chronic renal failure, treated conservatively or by continuous ambulatory peritoneal dialysis. Pediatr Nephrol 9:325–328CrossRefPubMed
11.
go back to reference Teschan PE, Ginn HE, Bourne JR, Ward JW, Hamel B, Nunnally JC, Musso M, Vaughn WK (1979) Quantitative indices of clinical uremia. Kidney Int 15:676–697CrossRefPubMed Teschan PE, Ginn HE, Bourne JR, Ward JW, Hamel B, Nunnally JC, Musso M, Vaughn WK (1979) Quantitative indices of clinical uremia. Kidney Int 15:676–697CrossRefPubMed
12.
go back to reference Sagales T, Gimeno V, Planella MJ, Raguer N, Bartolome J (1993) Effects of rHuEPO on Q-EEG and event-related potentials in chronic renal failure. Kidney Int 44:1109–1115CrossRefPubMed Sagales T, Gimeno V, Planella MJ, Raguer N, Bartolome J (1993) Effects of rHuEPO on Q-EEG and event-related potentials in chronic renal failure. Kidney Int 44:1109–1115CrossRefPubMed
13.
go back to reference Marsh JT, Brown WS, Wolcott D, Carr CR, Harper R, Schweitzer SV, Nissenson AR (1991) rHuEPO treatment improves brain and cognitive function of anemic dialysis patients. Kidney Int 39:155–163CrossRefPubMed Marsh JT, Brown WS, Wolcott D, Carr CR, Harper R, Schweitzer SV, Nissenson AR (1991) rHuEPO treatment improves brain and cognitive function of anemic dialysis patients. Kidney Int 39:155–163CrossRefPubMed
14.
go back to reference Evers S, Tepel M, Obladen M, Suhr B, Husstedt IW, Grotemeyer KH, Zidek W (1998) Influence of end-stage renal failure and hemodialysis on event-related potentials. J Clin Neurophysiol 15:58–63CrossRefPubMed Evers S, Tepel M, Obladen M, Suhr B, Husstedt IW, Grotemeyer KH, Zidek W (1998) Influence of end-stage renal failure and hemodialysis on event-related potentials. J Clin Neurophysiol 15:58–63CrossRefPubMed
15.
go back to reference Tilki HE, Akpolat T, Tunali G, Kara A, Onar MK (2004) Effects of haemodialysis and continuous ambulatory peritoneal dialysis on P300 cognitive potentials in uraemic patients. Ups J Med Sci 109:43–48CrossRefPubMed Tilki HE, Akpolat T, Tunali G, Kara A, Onar MK (2004) Effects of haemodialysis and continuous ambulatory peritoneal dialysis on P300 cognitive potentials in uraemic patients. Ups J Med Sci 109:43–48CrossRefPubMed
16.
go back to reference Suppiej A, Casara G, Boniver C, Pozzan GB, Montini G, Zacchello G, Zacchello F (1991) Somatosensory pathway dysfunction in uremic children. Brain Dev 13:238–241CrossRefPubMed Suppiej A, Casara G, Boniver C, Pozzan GB, Montini G, Zacchello G, Zacchello F (1991) Somatosensory pathway dysfunction in uremic children. Brain Dev 13:238–241CrossRefPubMed
17.
go back to reference Warady BA, Fivush BA, Alexander SR (1999) Peritoneal dialysis. In: Barrat TM, Avner ED, Harmon WE eds. Pediatric nephrology, 4th edn. Lippincott Williams & Wilkins, Baltimore, pp 1251–1265 Warady BA, Fivush BA, Alexander SR (1999) Peritoneal dialysis. In: Barrat TM, Avner ED, Harmon WE eds. Pediatric nephrology, 4th edn. Lippincott Williams & Wilkins, Baltimore, pp 1251–1265
18.
19.
go back to reference Polinsky MS, Kaiser BA, Stover JB (1987) Neurologic development of children with severe chronic renal failure from infancy. Pediatr Nephrol 1:157–165CrossRefPubMed Polinsky MS, Kaiser BA, Stover JB (1987) Neurologic development of children with severe chronic renal failure from infancy. Pediatr Nephrol 1:157–165CrossRefPubMed
20.
go back to reference Fennell RS, Fennell EB, Carter RL, Mings EL, Klausner AB, Hurst JR (1990) Correlations between performance on neuropsychological tests in children with chronic renal failure. Child Nephrol Urol 10:199–204PubMed Fennell RS, Fennell EB, Carter RL, Mings EL, Klausner AB, Hurst JR (1990) Correlations between performance on neuropsychological tests in children with chronic renal failure. Child Nephrol Urol 10:199–204PubMed
21.
go back to reference Fennell RS, Fennell EB, Carter RL, Mings EL, Klausner AB, Hurst JR (1990) A longitudinal study of the cognitive function of children with renal failure. Pediatr Nephrol 4:11–15CrossRefPubMed Fennell RS, Fennell EB, Carter RL, Mings EL, Klausner AB, Hurst JR (1990) A longitudinal study of the cognitive function of children with renal failure. Pediatr Nephrol 4:11–15CrossRefPubMed
22.
go back to reference Mendley SR, Zelko FA (1999) Improvement in specific aspects of neurocognitive performance in children after renal transplantation. Kidney Int 56:318–323CrossRefPubMed Mendley SR, Zelko FA (1999) Improvement in specific aspects of neurocognitive performance in children after renal transplantation. Kidney Int 56:318–323CrossRefPubMed
23.
go back to reference Brouhard BH, Donaldson LA, Lawry KW, McGowan KR, Drotar D, Davis I, Rose S, Cohn RA, Tejani A (2000) Cognitive functioning in children on dialysis and post-transplantation. Pediatr Transplant 4:261–267CrossRefPubMed Brouhard BH, Donaldson LA, Lawry KW, McGowan KR, Drotar D, Davis I, Rose S, Cohn RA, Tejani A (2000) Cognitive functioning in children on dialysis and post-transplantation. Pediatr Transplant 4:261–267CrossRefPubMed
24.
go back to reference Hulstijn-Dirkmaat GM, Damhuis IH, Jetten ML, Koster AM, Schroder CH (1995) The cognitive development of pre-school children treated for chronic renal failure. Pediatr Nephrol 9:464–469CrossRefPubMed Hulstijn-Dirkmaat GM, Damhuis IH, Jetten ML, Koster AM, Schroder CH (1995) The cognitive development of pre-school children treated for chronic renal failure. Pediatr Nephrol 9:464–469CrossRefPubMed
25.
go back to reference Ledermann SE, Scanes ME, Fernando ON, Duffy PG, Madden SJ, Trompeter RS (2000) Long-term outcome of peritoneal dialysis in infants. J Pediatr 136:24–29CrossRefPubMed Ledermann SE, Scanes ME, Fernando ON, Duffy PG, Madden SJ, Trompeter RS (2000) Long-term outcome of peritoneal dialysis in infants. J Pediatr 136:24–29CrossRefPubMed
26.
go back to reference Warady BA, Belden B, Kohaut E (1999) Neurodevelopmental outcome of children initiating peritoneal dialysis in early infancy. Pediatr Nephrol 13:759–765CrossRefPubMed Warady BA, Belden B, Kohaut E (1999) Neurodevelopmental outcome of children initiating peritoneal dialysis in early infancy. Pediatr Nephrol 13:759–765CrossRefPubMed
27.
go back to reference Madden SJ, Ledermann SE, Guerrero-Blanco M, Bruce M, Trompeter RS (2003) Cognitive and psychosocial outcome of infants dialysed in infancy. Child Care Health Dev 29:55–61CrossRefPubMed Madden SJ, Ledermann SE, Guerrero-Blanco M, Bruce M, Trompeter RS (2003) Cognitive and psychosocial outcome of infants dialysed in infancy. Child Care Health Dev 29:55–61CrossRefPubMed
28.
go back to reference Lawry KW, Brouhard BH, Cunningham RJ (1994) Cognitive functioning and school performance in children with renal failure. Pediatr Nephrol 8:326–329CrossRefPubMed Lawry KW, Brouhard BH, Cunningham RJ (1994) Cognitive functioning and school performance in children with renal failure. Pediatr Nephrol 8:326–329CrossRefPubMed
29.
go back to reference Bawden HN, Acott P, Carter J, Lirenman D, MacDonald GW, McAllister M, McDonnell MC, Shea S, Crocker J (2004) Neuropsychological functioning in end-stage renal disease. Arch Dis Child 89:644–647CrossRefPubMedPubMedCentral Bawden HN, Acott P, Carter J, Lirenman D, MacDonald GW, McAllister M, McDonnell MC, Shea S, Crocker J (2004) Neuropsychological functioning in end-stage renal disease. Arch Dis Child 89:644–647CrossRefPubMedPubMedCentral
30.
go back to reference Gipson DS, Hooper SR, Duquette PJ, Wetherington CE, Stellwagen KK, Jenkins TL, Ferris ME (2006) Memory and executive function in pediatric chronic kidney disease. Child Neuropsychol 12:1–15CrossRef Gipson DS, Hooper SR, Duquette PJ, Wetherington CE, Stellwagen KK, Jenkins TL, Ferris ME (2006) Memory and executive function in pediatric chronic kidney disease. Child Neuropsychol 12:1–15CrossRef
31.
go back to reference Quick CA (1976) Hearing loss in patients with dialysis and renal transplants. Ann Otol Rhinol Laryngol 85:776–790CrossRefPubMed Quick CA (1976) Hearing loss in patients with dialysis and renal transplants. Ann Otol Rhinol Laryngol 85:776–790CrossRefPubMed
32.
go back to reference Fennell R, Fennell E, Carter R, Mings E, Klausner A (1990) Association between renal function and cognition in childhood chronic renal failure. Pediatr Nephrol 4:16–20CrossRefPubMed Fennell R, Fennell E, Carter R, Mings E, Klausner A (1990) Association between renal function and cognition in childhood chronic renal failure. Pediatr Nephrol 4:16–20CrossRefPubMed
33.
go back to reference Shoham DA, Vupputuri S, Kshirsagar AV (2005) Chronic kidney disease and life course socioeconomic status: a review. Adv Chronic Kidney Dis 12:56–63CrossRefPubMed Shoham DA, Vupputuri S, Kshirsagar AV (2005) Chronic kidney disease and life course socioeconomic status: a review. Adv Chronic Kidney Dis 12:56–63CrossRefPubMed
34.
go back to reference U.S.Department of Education (2004) Digest of education statistics, 2003. National Center for Education Statistics, Washington, D.C. U.S.Department of Education (2004) Digest of education statistics, 2003. National Center for Education Statistics, Washington, D.C.
35.
go back to reference Groothoff JW, Grootenhuis M, Dommerholt A, Gruppen MP, Offringa M, Heymans HS (2002) Impaired cognition and schooling in adults with end stage renal disease since childhood. Arch Dis Child 87:380–385CrossRefPubMedPubMedCentral Groothoff JW, Grootenhuis M, Dommerholt A, Gruppen MP, Offringa M, Heymans HS (2002) Impaired cognition and schooling in adults with end stage renal disease since childhood. Arch Dis Child 87:380–385CrossRefPubMedPubMedCentral
36.
go back to reference Broyer M, Le BC, Charbit M, Guest G, Tete MJ, Gagnadoux MF, Niaudet P (2004) Long-term social outcome of children after kidney transplantation. Transplantation 77:1033–1037CrossRefPubMed Broyer M, Le BC, Charbit M, Guest G, Tete MJ, Gagnadoux MF, Niaudet P (2004) Long-term social outcome of children after kidney transplantation. Transplantation 77:1033–1037CrossRefPubMed
37.
go back to reference Bartosh SM, Leverson G, Robillard D, Sollinger HW (2003) Long-term outcomes in pediatric renal transplant recipients who survive into adulthood. Transplantation 76:1195–1200CrossRefPubMed Bartosh SM, Leverson G, Robillard D, Sollinger HW (2003) Long-term outcomes in pediatric renal transplant recipients who survive into adulthood. Transplantation 76:1195–1200CrossRefPubMed
38.
go back to reference Groothoff JW, Grootenhuis MA, Offringa M, Stronks K, Hutten GJ, Heymans HS (2005) Social consequences in adult life of end-stage renal disease in childhood. J Pediatr 146:512–517CrossRefPubMed Groothoff JW, Grootenhuis MA, Offringa M, Stronks K, Hutten GJ, Heymans HS (2005) Social consequences in adult life of end-stage renal disease in childhood. J Pediatr 146:512–517CrossRefPubMed
Metadata
Title
The central nervous system in childhood chronic kidney disease
Authors
Debbie S. Gipson
Peter J. Duquette
Phil F. Icard
Stephen R. Hooper
Publication date
01-10-2007
Publisher
Springer Berlin Heidelberg
Published in
Pediatric Nephrology / Issue 10/2007
Print ISSN: 0931-041X
Electronic ISSN: 1432-198X
DOI
https://doi.org/10.1007/s00467-006-0269-1

Other articles of this Issue 10/2007

Pediatric Nephrology 10/2007 Go to the issue