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Neurocritical Care
Published in: Neurocritical Care 1/2020

01-02-2020 | Subdural Hematoma | Neuro-Images

Transcranial Doppler Monitoring of Dialysis Disequilibrium in an ESRD Patient with Traumatic Brain Injury

Authors: Shivani Ghoshal, Jonathan Gomez, Aarti Sarwal

Published in: Neurocritical Care | Issue 1/2020

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Excerpt

Dialysis disequilibrium syndrome (DDS) is a constellation of signs and symptoms including nausea, headache, seizures, encephalopathy, and even herniation and death [1]. The syndrome is thought to originate from osmolar shifts in dialysis leading to an acute increase in brain water, cerebral edema, and reduced brain compliance [1‐4]. End-stage renal disease (ESRD) patients with new acute neurologic injury involving compromise of the blood–brain barrier may be at particular risk of DDS [4‐6]. …
Literature
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Saha M, Allon M. Diagnosis, treatment, and prevention of hemodialysis emergencies. Clin J Am Soc Nephrol. 2017;12(2):357–69.CrossRef
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Trinh-Trang-Tan MM, Cartron JP, Bankir L. Molecular basis for the dialysis disequilibrium syndrome: altered aquaporin and urea transporter expression in the brain. Nephrol Dial Transplant. 2005;20(9):1984–8.CrossRef
3.
Walters RJ, Fox NC, Crum WR, Taube D, Thomas DJ. Haemodialysis and cerebral oedema. Nephron. 2001;87(2):143–7.CrossRef
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Davenport A. Changing the hemodialysis prescription for hemodialysis patients with subdural and intracranial hemorrhage. Hemodial Int. 2013;17(Suppl 1):S22–7.CrossRef
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Kumar A, Cage A, Dhar R. Dialysis-induced worsening of cerebral edema in intracranial hemorrhage: a case series and clinical perspective. Neurocrit Care. 2015;22(2):283–7.CrossRef
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Lin CM, Lin JW, Tsai JT, et al. Intracranial pressure fluctuation during hemodialysis in renal failure patients with intracranial hemorrhage. Acta Neurochir Suppl. 2008;101:141–4.CrossRef
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Hata R, Matsumoto M, Handa N, Terakawa H, Sugitani Y, Kamada T. Effects of hemodialysis on cerebral circulation evaluated by transcranial Doppler ultrasonography. Stroke. 1994;25(2):408–12.CrossRef
Metadata
Title
Transcranial Doppler Monitoring of Dialysis Disequilibrium in an ESRD Patient with Traumatic Brain Injury
Authors
Shivani Ghoshal
Jonathan Gomez
Aarti Sarwal
Publication date
01-02-2020
Publisher
Springer US
Published in
Neurocritical Care / Issue 1/2020
Print ISSN: 1541-6933
Electronic ISSN: 1556-0961
DOI
https://doi.org/10.1007/s12028-019-00785-6

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