Spontaneous nontraumatic subarachnoid hemorrhage without cerebrovascular malformations in a maintenance hemodialysis patient
| Autor: | Rathinam Palamalai Swaminathan, R R Kumar, Avinash Kumar Dubey, N Murugesan, P S Priyamvada, Sreejith Parameswaran, R Jayasurya |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Subarachnoid hemorrhage end-stage renal disease business.industry medicine.medical_treatment High mortality Case Report Maintenance hemodialysis medicine.disease lcsh:Diseases of the genitourinary system. Urology lcsh:RC870-923 Cerebral edema Surgery End stage renal disease Anticoagulation nontraumatic subarachnoid hemorrhage maintenance hemodialysis Nephrology medicine Hemodialysis cardiovascular diseases Medical prescription business Dialysis |
| Zdroj: | Indian Journal of Nephrology, Vol 25, Iss 5, Pp 310-314 (2015) Indian Journal of Nephrology |
| ISSN: | 1998-3662 0971-4065 |
| Popis: | Nontraumatic subarachnoid hemorrhage (SAH) in a dialysis patient is an uncommon occurrence and is often associated with high mortality. We report for the first time in India, a case of spontaneous nontraumatic, nonaneurysmal SAH without any cerebrovascular malformation in a maintenance hemodialysis patient, following a session of hemodialysis. The dialysis prescription needs to be modified in these patients, in order to prevent worsening of cerebral edema and progression of hemorrhage. Where available, continuous forms of renal replacement therapies, with regional anticoagulation seem to be the best option for such patients, till neurologic stabilization is achieved. |
| Databáze: | OpenAIRE |
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